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Tennessee rates for HCPCS B9004

Parenteral nutrition infusion pump, portable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,049.99 / $3,049.99 / $5,337.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,683.00 / $3,049.99 / $3,205.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $1,275.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $7,431.44 / $17,388.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.56 / $3,026.22 / $5,738.28