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Parenteral Nutrition Supply Kit, Premix

Wisconsin rates for HCPCS B4220

Parenteral nutrition supply kit; premix, per day

Rates data updated July 2026.

Facilitymedian $12 · 10th–90th $12$190%50%90th$12Professionalmedian $12 · 10th–90th $9$260%20%10th90th$12$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
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.51
Typical High
$10.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$19.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$13.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$38.02
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$16.98
Typical High
$22.39
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$11.48
Typical High
$12.30
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
Medica
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$11.48
Typical High
$85.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$12.02
Typical High
$28.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$89.13
Network Health
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Network Health
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$11.48
Typical High
$12.30
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
Quartz
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$18.62
Typical High
$37.15
Quartz
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$85.11
Typical High
$85.11
Quartz
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$5.13
Security Health
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Security Health
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Security Health
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
United
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
United
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$10.72
Typical High
$30.20