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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$1,511.60 / $1,511.60 / $3,484.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,175.85 / $6,990.68 / $8,276.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.70 / $1,923.85 / $3,134.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.56 / $2,751.11 / $4,333.24