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New York rates for HCPCS B4222

Parenteral nutrition supply kit; home mix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $7.36 / $11.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $9.13 / $9.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.33 / $14.33 / $28.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.97 / $16.42
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.44 / $8.44 / $11.94
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $8.44 / $8.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $5.95 / $5.95
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.33 / $30.09 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.33 / $25.79 / $39.84
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.19 / $8.27 / $11.19
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $8.80 / $11.19
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $8.86 / $24.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $12.52 / $18.48
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.42 / $8.27 / $8.27
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.42 / $8.19 / $11.19