go back

Maine rates for HCPCS B4224

Parenteral Nutrition Administration Kit Per Day (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.83 / $16.29 / $16.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.10 / $41.79 / $48.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.68 / $36.27 / $36.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.60 / $21.60 / $21.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.64 / $32.64 / $39.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.83 / $16.29 / $16.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.38 / $32.64 / $45.92