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Arizona 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
$13.81 / $13.81 / $71.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.53 / $72.75 / $121.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.46 / $22.49 / $44.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $20.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.12 / $30.83 / $115.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $18.73 / $35.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $18.73 / $32.97