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Ohio rates for HCPCS B4222

Parenteral nutrition supply kit; home mix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.63 / $10.63 / $50.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.63 / $10.63 / $12.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.04 / $15.29 / $24.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $6.15 / $17.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.77 / $15.84 / $18.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.05 / $15.05 / $15.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $5.95 / $5.95
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $5.95 / $10.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.95 / $7.64 / $10.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $10.76 / $18.29