| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.69 | $11.69 | $11.69 | |
Aetna
| Professional | $11.69 | $11.69 | $30.22 | |
Regence BlueShield
| Facility | $39.79 | $51.41 | $53.34 | |
United
| Professional | $21.25 | $30.09 | $44.59 |
Parenteral Nutrition Administration Kit Per Day (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.69 | $11.69 | $11.69 | |
Aetna
| Professional | $11.69 | $11.69 | $30.22 | |
Regence BlueShield
| Facility | $39.79 | $51.41 | $53.34 | |
United
| Professional | $21.25 | $30.09 | $44.59 |