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South Carolina rates for HCPCS B4222

Parenteral Nutrition Supply Kit; Home Mix Per Day (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.64 / $13.64 / $13.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $12.55 / $13.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.33 / $14.33 / $17.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.75 / $13.64 / $18.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $5.69 / $5.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $10.76 / $14.53