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Arizona rates for HCPCS B9004

Parenteral nutrition infusion pump, portable

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,050.05 / $2,050.05 / $10,562.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.22 / $1,092.38 / $1,820.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,295.33 / $3,338.66 / $6,656.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $1,275.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,660.81 / $17,132.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,256.35 / $2,783.31 / $4,576.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.73 / $2,760.60 / $4,347.88