go back

West Virginia rates for HCPCS B4220

Parenteral nutrition supply kit; premix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.88 / $4.88 / $4.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $7.18 / $11.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $14.64 / $17.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.63 / $22.63 / $22.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.61 / $13.61 / $13.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $55.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.67 / $8.53 / $16.25