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Illinois rates for HCPCS B4164

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

Facilitymedian $28 · 10th–90th $23–$1620%20%10th90th$28Professionalmedian $21 · 10th–90th $15–$250%20%10th90th$21$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.95 / $22.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $46.77 / $218.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $24.55 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $37.15 / $66.07
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $20.42 / $34.67