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
$10.37 / $11.87 / $13.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.37 / $11.87 / $13.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.33 / $15.05 / $66.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.15 / $6.49 / $13.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $5.95 / $16.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.16 / $29.09 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.09 / $9.03 / $16.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $8.61 / $21.85