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Utah 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
$4.61 / $4.61 / $4.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $4.61 / $11.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.58 / $20.46 / $20.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $12.24 / $17.62