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California rates for HCPCS B4222

Parenteral nutrition supply kit; home mix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $5.01 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $10.96 / $39.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $7.94 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $14.45 / $331.13
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $25.12 / $33.88
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $10.72 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $16.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $14.45 / $38.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $8.71 / $14.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.89 / $14.45
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $13.80 / $40.74