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Wisconsin rates for HCPCS B4220

Parenteral nutrition supply kit; premix, per day

Facilitymedian $12 · 10th–90th $12$210%20%40%90th$12Professionalmedian $11 · 10th–90th $7$230%20%10th90th$11$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $8.91 / $10.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $19.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $37.15 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $16.98 / $22.39
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $11.48 / $12.30
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.27
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $11.48 / $85.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $12.02 / $28.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $89.13
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $18.62 / $37.15
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $85.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.13
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $11.75
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $11.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $11.75 / $11.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $11.22 / $30.20