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New York rates for HCPCS B4220

Parenteral nutrition supply kit; premix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $5.97 / $9.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $7.40 / $7.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.61 / $11.61 / $23.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $4.03 / $13.30
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.84 / $6.84 / $9.68
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.84 / $6.84 / $6.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.61 / $24.38 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $20.90 / $32.28
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.65 / $9.07 / $9.07
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.72 / $7.13 / $9.07
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $7.18 / $19.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.61 / $11.61 / $11.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $10.14 / $14.64
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.72 / $6.72 / $6.72
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.65 / $7.13 / $9.07