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Florida 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
$11.22 / $19.05 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $19.05 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $120.23
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $19.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $25.12 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $19.50 / $33.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $24.55