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Wisconsin rates for HCPCS B4187

Omegaven, 10 g lipids

Facilitymedian $17 · 10th–90th $17$280%20%40%90th$17Professionalmedian $15 · 10th–90th $9$250%20%10th90th$15$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $12.02 / $15.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $27.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $51.29 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $23.44 / $31.62
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $16.22 / $16.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $16.22 / $16.98
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $18.62 / $43.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $25.12 / $53.70
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $151.36 / $151.36
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $16.22 / $43.65