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Tennessee rates for HCPCS B4220

Parenteral nutrition supply kit; premix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.68 / $9.68 / $16.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $9.68 / $10.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.57 / $85.00 / $85.00
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 / $19.30