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Kentucky 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
$1,230.91 / $2,055.81 / $3,484.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.91 / $2,717.01 / $3,484.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,660.81 / $3,660.81 / $3,660.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.27 / $2,198.69 / $2,198.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.67 / $956.20 / $4,689.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.84 / $792.30 / $4,078.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,290.01 / $4,290.01 / $4,290.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.00 / $17,645.09 / $17,645.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.34 / $2,693.39 / $3,163.78