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Pennsylvania rates for HCPCS B4222

Parenteral nutrition supply kit; home mix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.27 / $8.27 / $10.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $9.16 / $41.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.33 / $14.33 / $14.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $5.95 / $5.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.27 / $8.27 / $10.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $9.16 / $41.36
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $5.95 / $5.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.24 / $13.64 / $13.64
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.24 / $13.64 / $13.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $11.32 / $21.27