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West Virginia rates for HCPCS B4216

Parenteral nutrition; additives (vitamins, trace elements, Heparin, electrolytes), home mix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.71 / $4.71 / $4.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.71 / $6.92 / $10.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.11 / $14.13 / $16.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.13 / $13.13 / $13.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $53.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $8.84 / $15.68