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Ohio rates for HCPCS B9004

Parenteral nutrition infusion pump, portable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,717.01 / $2,717.01 / $4,712.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,717.01 / $2,717.01 / $3,205.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,331.34 / $3,906.08 / $6,278.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.27 / $1,800.14 / $4,653.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.34 / $661.96 / $3,956.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.24 / $608.49 / $3,843.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $1,275.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.78 / $1,275.00 / $1,965.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $358.19 / $3,039.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.56 / $2,814.32 / $4,553.09