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Washington, DC 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
$23.47 / $23.47 / $23.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.47 / $23.47 / $23.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.23 / $16.23 / $16.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.66 / $24.66 / $48.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $8.19 / $60.29