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Michigan 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 / $38.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $13.64 / $13.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.19 / $40.28 / $77.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.61 / $14.33 / $14.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $8.84 / $10.76
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.15 / $11.15 / $13.64
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.15 / $12.55 / $16.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $11.06 / $17.75