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New Jersey rates for HCPCS B4222

Parenteral nutrition supply kit; home mix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.73 / $5.25 / $5.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $5.27 / $12.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $225.00 / $225.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $5.95 / $9.26
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.53 / $9.53 / $9.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $8.02 / $13.33