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Connecticut 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
$15.71 / $15.71 / $15.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.18 / $18.30 / $23.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.11 / $24.66 / $28.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $20.46 / $24.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $19.82 / $32.69