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Washington rates for HCPCS B4187

Omegaven, 10 g lipids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.58 / $13.58 / $13.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $13.58 / $13.58
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.89 / $30.23 / $116.57
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.85 / $13.85 / $142.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.91 / $15.91 / $21.18
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.91 / $28.64 / $43.75
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.91 / $15.91 / $28.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.85 / $13.85 / $13.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.64 / $18.78 / $40.10