Daily home-mixed IV nutrition supply kit

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Parenteral supply kit homemi

Payers reporting HCPCS B4222

Payer pricing summary

Low

Average

$17

Median

$15

High

$50

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +7 other terms	185	$14	$34	$35	101%	—	$8 – $112
2	Aetna fee schedule · outpatient · +6 other terms	73	$14	$18	$12	69%	—	$6 – $85
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	65	$14	$15	$27	176%	—	$7 – $297
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	46	$22	$24	$14	59%	—	$0 – $52
5	Anthem fee schedule · outpatient · +5 other terms	38	$14	$14	$0	0%	—	$14 – $14
6	Cigna fee schedule · outpatient · +5 other terms	32	$14	$17	$6	36%	—	$14 – $43
7	Molina case rate · outpatient · +3 other terms	29	$15	$16	$3	16%	—	$14 – $21
8	Kaiser fee schedule · outpatient · +4 other terms	24	$14	$14	—	—	—	$14 – $14
9	Devoted fee schedule · outpatient · +2 other terms	19	$14	$14	—	—	—	$14 – $14
10	Medicare fee schedule · outpatient	18	$14	$14	—	—	—	$14 – $14
11	Caresource fee schedule · outpatient · +3 other terms	17	$14	$14	$0	1%	—	$14 – $15
12	WellCare case rate · outpatient · +4 other terms	14	$15	$15	$1	4%	—	$14 – $16
13	Wellmark fee schedule · both · +1 other terms	13	$13	$13	$0	1%	—	$13 – $14
14	Aetna Better Health fee schedule · outpatient · +2 other terms	12	$12	$13	$1	10%	—	$12 – $14
15	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$13	$13	$3	26%	—	$6 – $16
16	Regence fee schedule · outpatient · +3 other terms	12	$16	$17	$5	31%	—	$11 – $43
17	Ambetter case rate · outpatient · +5 other terms	11	$21	$21	$1	4%	—	$21 – $23
18	Highmark fee schedule · outpatient · +3 other terms	10	$11	$11	—	—	—	$11 – $11
19	Medica fee schedule · outpatient · +4 other terms	10	$28	$29	$7	25%	—	$17 – $37
20	Optum fee schedule · outpatient · +1 other terms	10	$14	$14	—	—	—	$14 – $14
21	Cigna Healthspring fee schedule · outpatient · +1 other terms	9	$15	$15	—	—	—	$15 – $15
22	Medical Mutual facility · fee schedule · outpatient	9	$15	$18	$4	21%	—	$15 – $23
23	Premera fee schedule · outpatient · +1 other terms	9	$26	$24	$4	17%	—	$17 – $31
24	Ucare fee schedule · both · +4 other terms	9	$16	$16	—	—	—	$16 – $16
25	Oscar case rate · outpatient · +1 other terms	8	$22	$22	—	—	—	$22 – $22

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