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Iowa rates for HCPCS B4220

Parenteral nutrition supply kit; premix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.91 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $16.98
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $13.49 / $20.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $13.80 / $85.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $12.88 / $20.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $14.79 / $15.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $11.75 / $11.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $9.77 / $20.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $10.47