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Pennsylvania rates for HCPCS B4220

Parenteral nutrition supply kit; premix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $6.71 / $8.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $7.42 / $33.52
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $11.61 / $11.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $6.71 / $8.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $7.42 / $33.52
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.30 / $11.05 / $11.05
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.30 / $11.05 / $11.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $7.92 / $13.52