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Oklahoma 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
$9.66 / $9.66 / $9.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $9.66 / $10.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.17 / $10.17 / $10.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.15 / $10.68 / $23.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $8.28 / $11.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $8.21 / $11.56