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New Mexico 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
$9.76 / $10.17 / $33.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $9.27 / $11.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $11.61 / $11.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.78 / $7.54 / $10.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.62 / $4.62 / $4.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $13.12 / $15.40