go back

New Hampshire rates for HCPCS B4222

Parenteral nutrition supply kit; home mix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $4.90 / $5.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $6.03 / $10.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $15.14 / $17.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.50 / $24.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $7.08 / $15.49