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Hawaii rates for HCPCS B4164

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

Insurance Carrier
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.66 / $24.66 / $25.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.83 / $27.13 / $30.75