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Indiana 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 / $12.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.15 / $11.05 / $11.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.99 / $10.39 / $11.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $7.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.32 / $12.19 / $16.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $11.09 / $12.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $11.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $9.09 / $13.93