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Idaho rates for HCPCS B4164

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.94 / $21.59 / $21.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.54 / $22.89 / $30.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.43 / $23.43 / $24.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.79 / $36.95 / $53.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.26 / $17.26 / $24.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.63 / $21.74 / $32.29