go back

Mississippi 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
$3,205.54 / $3,205.54 / $3,205.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,923.32 / $3,205.54 / $3,205.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,978.67 / $2,978.67 / $3,276.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,484.42 / $3,484.42 / $3,484.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $1,275.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.56 / $3,043.90 / $4,089.93