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Louisiana 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
$18.66 / $19.48 / $20.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.66 / $20.50 / $20.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.71 / $14.92 / $15.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $20.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $16.27 / $24.11