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Oklahoma rates for HCPCS B4220

Parenteral nutrition supply kit; premix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $10.00 / $10.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $11.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $10.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $11.48 / $23.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $8.32 / $11.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $9.33 / $11.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $8.32 / $11.48