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South Carolina 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
$11.05 / $11.05 / $11.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.17 / $11.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.73 / $11.61 / $13.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.16 / $11.05 / $14.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.62 / $4.62 / $4.62
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 / $9.00 / $11.01