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New Jersey rates for HCPCS B4220

Parenteral Nutrition Supply Kit; Premix Per Day (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.83 / $4.26 / $4.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $4.26 / $9.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $225.00 / $225.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $7.41
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.73 / $7.73 / $7.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.47 / $6.03 / $15.53