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Maryland rates for HCPCS B9004

Parenteral nutrition infusion pump, portable

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,262.56 / $3,484.42 / $4,808.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,645.46 / $2,645.46 / $2,645.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $1,275.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,111.69 / $4,026.89 / $5,491.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.34 / $2,568.34 / $5,238.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.47 / $1,233.47 / $1,233.47