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Illinois 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
$11.05 / $11.05 / $11.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.18 / $9.49 / $11.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.04 / $22.64 / $129.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.28 / $11.61 / $11.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $13.93 / $29.62
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.09 / $15.09 / $15.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.28 / $11.61 / $11.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.80 / $9.18 / $16.28