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Minnesota 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
$3,484.42 / $3,484.42 / $3,484.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,543.63 / $3,484.42 / $3,484.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,135.98 / $3,396.26 / $5,097.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,928.65 / $3,660.81 / $3,660.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,195.84 / $13,040.84 / $31,371.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,286.31 / $4,803.92 / $5,389.72
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,475.55 / $11,922.46 / $24,701.98
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,243.88 / $4,243.88 / $5,771.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,660.81 / $7,431.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.34 / $3,660.81 / $8,747.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.00 / $3,660.81 / $8,747.26