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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
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.91 / $10.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $11.48 / $11.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.33 / $10.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $11.48 / $11.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $7.08 / $10.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $5.13 / $5.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $11.75 / $11.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $12.88 / $15.49