go back

Montana rates for HCPCS B4220

Parenteral nutrition supply kit; premix, per day

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.17 / $33.52 / $33.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.34 / $11.34 / $11.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.19 / $12.19 / $12.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.19 / $12.19 / $12.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.19 / $12.19 / $12.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.15 / $9.15 / $12.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.58 / $15.15 / $17.13