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West Virginia rates for HCPCS B4222

Parenteral nutrition supply kit; home mix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.02 / $6.02 / $6.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $8.86 / $13.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.48 / $18.42 / $21.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.79 / $16.79 / $16.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $5.95 / $69.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.75 / $10.73 / $20.05