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Texas 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
$9.76 / $9.86 / $10.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.42 / $10.07 / $10.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.13
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.47 / $10.17 / $14.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.62 / $5.78 / $11.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.47 / $10.17 / $14.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.62 / $5.09 / $10.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $8.73 / $12.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $11.61 / $15.67