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Kentucky 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
$12.88 / $12.88 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $19.95 / $22.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $24.55 / $24.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $16.22 / $16.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $18.62 / $26.30