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North Carolina rates for HCPCS B4220

Parenteral nutrition supply kit; premix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.17 / $10.17 / $10.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $10.17 / $10.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.31 / $10.58 / $21.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $9.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.17 / $11.05 / $13.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.73 / $8.73 / $8.73
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 / $9.92 / $29.28
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $85.00 / $85.00