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Vermont 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
$2,336.11 / $2,336.11 / $2,336.11
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
$1,826.34 / $3,571.71 / $4,232.06