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Missouri rates for HCPCS B4220

Parenteral nutrition supply kit; premix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.40 / $9.61 / $11.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.40 / $9.61 / $11.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.61 / $12.19 / $53.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $5.09 / $10.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $13.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $23.57 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.74 / $7.33 / $13.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.28 / $11.61 / $11.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $6.98 / $19.05