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Michigan rates for HCPCS B4220

Parenteral nutrition supply kit; premix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $11.05 / $20.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.18 / $11.05 / $11.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.41 / $32.63 / $63.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $11.61 / $11.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $6.28 / $7.15
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.05 / $9.05 / $11.05
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.05 / $10.17 / $13.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $7.22 / $7.22
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 / $8.97 / $14.40