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Oregon rates for HCPCS B4222

Parenteral nutrition supply kit; home mix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $8.91 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $30.90 / $36.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $13.80 / $16.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $13.80 / $15.14
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $13.49 / $16.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $10.72 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $27.54 / $56.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $11.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $20.89 / $36.31