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Idaho rates for HCPCS B4222

Parenteral nutrition supply kit; home mix, per day

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.43 / $12.55 / $12.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.94 / $13.30 / $17.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.61 / $13.61 / $14.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.89 / $21.47 / $31.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.02 / $10.02 / $14.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $12.55 / $18.76