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Nebraska 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 / $11.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $11.05 / $33.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,396.85 / $1,837.24 / $3,839.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.77 / $11.23 / $11.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.43 / $13.50 / $16.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $20.59 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.42 / $9.66 / $19.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.74 / $13.93 / $15.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $14.12 / $24.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.42 / $9.66 / $14.84