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Massachusetts rates for HCPCS B4220

Parenteral nutrition supply kit; premix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.43 / $4.43 / $4.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.43 / $4.43 / $7.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $11.34 / $85.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.80 / $11.34 / $13.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.02 / $22.44 / $49.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $35.00 / $37.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $3,504.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.45 / $10.45 / $21.70
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.57 / $85.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.43 / $7.90 / $16.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.61 / $11.61 / $11.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.80 / $8.23 / $16.07