go back

Alaska rates for HCPCS B4222

Parenteral nutrition supply kit; home mix, per day

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $8.32 / $41.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $5.95 / $5.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.90 / $11.90 / $11.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.61 / $13.61 / $46.14
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.99 / $13.99 / $13.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.90 / $11.90 / $11.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $11.92 / $12.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.28 / $23.84 / $35.76