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Arkansas rates for HCPCS B4220

Parenteral Nutrition Supply Kit; Premix 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
$9.35 / $9.35 / $9.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $9.35 / $9.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179,999.82 / $489,999.51 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.46 / $11.20 / $11.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $8.44 / $11.42