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Washington rates for HCPCS B4222

Parenteral nutrition supply kit; home mix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.94 / $11.94 / $11.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $11.94 / $13.64
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.33 / $25.10 / $85.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.15 / $12.18 / $13.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $5.95 / $5.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.88 / $9.88 / $12.07
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.99 / $13.99 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.55 / $21.82 / $35.46
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.99 / $13.99 / $25.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.89 / $21.47 / $40.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.18 / $12.18 / $12.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.52 / $35.27