go back

Missouri rates for HCPCS B4222

Parenteral nutrition supply kit; home mix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.96 / $12.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $50.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $7.59 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $16.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $28.84 / $85.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $9.12 / $16.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $14.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $9.33 / $17.38