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New Hampshire rates for HCPCS B4220

Parenteral nutrition supply kit; premix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.26 / $4.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.57 / $12.39 / $13.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $11.61 / $11.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.45 / $16.97 / $34.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $5.80 / $12.56
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.81 / $8.59 / $10.93