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Connecticut 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
$2,333.46 / $2,333.46 / $2,333.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,511.60 / $2,717.01 / $3,484.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,837.13 / $3,660.81 / $4,188.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,868.89 / $1,868.90 / $1,868.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.25 / $2,402.01 / $4,739.43