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Maine rates for HCPCS B4222

Parenteral nutrition supply kit; home mix, per day

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.94 / $28.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $16.60 / $19.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $14.45 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $15.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.94 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $12.88 / $18.20