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Nebraska rates for HCPCS B4222

Parenteral nutrition supply kit; home mix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.64 / $13.64 / $13.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.96 / $13.64 / $41.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,396.85 / $1,837.24 / $3,839.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.28 / $13.85 / $13.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.33 / $16.50 / $20.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.64 / $25.38 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $11.92 / $24.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.71 / $17.20 / $19.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $17.41 / $30.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $11.92 / $24.35