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Massachusetts rates for HCPCS B4222

Parenteral Nutrition Supply Kit; Home Mix Per Day (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $9.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.64 / $13.99 / $85.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $13.99 / $16.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.37 / $27.57 / $61.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $35.00 / $37.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $5.95 / $5.95
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $3,504.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.90 / $12.90 / $26.79
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.09 / $85.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $9.74 / $20.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $10.14 / $20.05