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Alabama rates for HCPCS B4164

Parenteral Nutrition Solution: Carbohydrates (Dextrose) 50% Or Less (500 Ml = 1 Unit) - Homemix (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.95 / $12.95 / $12.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.26 / $12.95 / $20.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $19.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $20.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $9.63 / $22.24