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Alaska rates for HCPCS B4164

Parenteral nutrition solution: carbohydrates (dextrose), 50% or less (500 ml = 1 unit), home mix

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.67 / $14.32 / $71.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $20.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.48 / $20.48 / $23.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.43 / $23.43 / $79.41
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $24.08 / $24.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.48 / $20.48 / $23.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.29 / $20.50 / $21.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.59 / $41.00 / $61.50