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Alabama rates for HCPCS B9004

Parenteral Nutrition Infusion Pump Portable (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,923.32 / $1,923.32 / $1,923.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.18 / $1,923.32 / $2,988.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,633.00 / $3,700.00 / $3,700.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $1,545.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.56 / $2,641.72 / $3,302.04