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Virginia 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
$7.18 / $7.18 / $11.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.97 / $7.18 / $11.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.61 / $11.61 / $12.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.34 / $11.34 / $11.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.00
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
$10.22 / $13.58 / $17.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.16 / $7.66 / $12.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.42 / $4.42 / $5.99
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.70 / $10.90 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $10.90 / $9,929.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.61 / $11.61 / $11.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.67 / $9.14 / $14.96