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Alabama rates for HCPCS B4222

Parenteral Nutrition Supply Kit; Home Mix Per Day (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.53 / $7.53 / $7.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.38 / $7.53 / $11.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $17.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $5.95 / $7.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $7.69 / $12.92