go back

North Carolina rates for HCPCS B4222

Parenteral nutrition supply kit; home mix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $10.96 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $14.13 / $28.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $11.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $13.49 / $17.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $14.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $12.02 / $26.92
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11