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New Hampshire rates for HCPCS B4222

Parenteral Nutrition Supply Kit; Home Mix Per Day (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.95 / $4.95 / $5.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $5.25 / $5.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.04 / $15.29 / $16.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.33 / $14.33 / $14.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $5.95 / $5.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.90 / $20.95 / $42.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $7.15 / $17.28
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.63 / $10.59 / $13.48