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California rates for HCPCS B4164

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.96 / $7.96 / $71.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $9.26 / $71.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.73 / $32.06 / $78.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $10.59 / $24.66
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.89 / $39.22 / $57.81
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.26 / $16.07 / $27.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $20.35
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.25 / $24.66 / $27.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.19 / $29.59 / $56.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.06 / $115.41 / $117.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.40 / $23.08 / $38.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $24.66 / $24.66
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.53 / $46.53 / $46.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $23.18 / $56.18