go back

Washington 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
$9.33 / $9.33 / $9.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $9.33 / $10.66
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.20 / $19.62 / $85.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $9.52 / $10.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $9.44 / $9.44
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.94 / $10.94 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.81 / $17.05 / $27.72
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.94 / $10.94 / $19.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $16.47 / $31.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $9.52 / $9.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.06 / $12.12 / $28.68