go back

Illinois rates for HCPCS B4222

Parenteral nutrition supply kit; home mix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.64 / $13.64 / $13.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $11.70 / $13.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $28.30 / $160.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $5.95 / $5.95
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.33 / $20.05 / $38.59
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.63 / $18.63 / $18.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $11.21 / $22.84