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Oklahoma rates for HCPCS B4222

Parenteral nutrition supply kit; home mix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.92 / $11.92 / $11.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.92 / $11.92 / $12.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $5.95 / $5.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.30 / $13.18 / $29.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $10.23 / $14.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $10.23 / $14.26