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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
$12.55 / $12.55 / $12.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.70 / $12.55 / $12.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.49 / $13.05 / $26.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.75 / $10.75 / $11.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.55 / $13.64 / $17.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.76 / $10.76 / $10.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $12.24 / $36.14
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $85.00 / $85.00