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Indiana 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 / $15.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.12 / $13.64 / $13.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.32 / $12.83 / $14.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.15 / $6.15 / $9.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.90 / $14.33 / $17.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.53 / $14.10 / $16.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $8.11 / $14.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $11.30 / $17.20