go back

Texas rates for HCPCS B4222

Parenteral nutrition supply kit; home mix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.05 / $12.17 / $12.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $12.42 / $13.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $5.95 / $5.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.09 / $85.00 / $85.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.09 / $12.55 / $17.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $7.14 / $14.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.09 / $12.55 / $17.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $5.95 / $13.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $10.73 / $14.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.33 / $14.33 / $19.35