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New Jersey rates for HCPCS B4216

Parenteral Nutrition; Additives (Vitamins Trace Elements Heparin Electrolytes) Homemix Per Day (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.70 / $4.11 / $4.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $4.12 / $9.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $225.00 / $225.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $7.41
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.45 / $7.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.28 / $7.84 / $14.98