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Louisiana rates for HCPCS B4222

Parenteral nutrition supply kit; home mix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.96 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.91 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $14.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $9.33 / $12.88