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Oregon 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
Professional
Modifier
Low / Median / High Price
$4.36 / $9.68 / $33.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.16 / $24.85 / $29.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.16 / $12.77 / $20.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $11.34 / $12.31
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.45 / $11.34 / $13.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.68 / $11.05 / $13.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $11.05 / $13.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.55 / $31.92 / $45.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $8.83 / $9.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $17.39 / $29.70