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Montana rates for HCPCS B4222

Parenteral nutrition supply kit; home mix, per day

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $41.36 / $41.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.99 / $13.99 / $13.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.05 / $15.05 / $15.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.05 / $15.05 / $15.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.05 / $15.05 / $15.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.30 / $11.30 / $15.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.52 / $18.50 / $21.14