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Utah rates for HCPCS B4222

Parenteral nutrition supply kit; home mix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $10.96 / $12.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $15.49 / $24.55
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $39.81
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $14.45 / $14.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $13.80 / $21.38