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Maine 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
Professional
Modifier
Low / Median / High Price
$4.43 / $5.22 / $5.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.23 / $13.38 / $15.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $11.61 / $11.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.45 / $10.45 / $12.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.43 / $5.22 / $5.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.93 / $12.41 / $16.07