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Washington 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 / $9.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $9.68 / $11.05
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.65 / $20.34 / $85.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $9.86 / $11.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $8.01 / $9.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.34 / $11.34 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.17 / $17.68 / $28.73
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.34 / $11.34 / $20.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.56 / $17.48 / $33.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $12.33 / $26.50