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Oklahoma rates for HCPCS B9004

Parenteral nutrition infusion pump, portable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,045.26 / $3,045.26 / $3,045.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,045.26 / $3,045.26 / $3,205.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.44 / $507.44 / $507.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $1,275.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,365.82 / $7,431.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.56 / $2,614.11 / $3,646.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.56 / $2,614.11 / $3,646.00