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Minnesota 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 / $13.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.96 / $13.64 / $13.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.28 / $13.29 / $19.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.46 / $14.33 / $14.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.22 / $51.36 / $123.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.67 / $18.92 / $20.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $46.96 / $97.29
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.50 / $16.50 / $22.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.90 / $14.33 / $29.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $14.33 / $34.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $13.11 / $34.25