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Maryland 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
$15.24 / $23.47 / $32.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.23 / $16.23 / $16.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $20.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.96 / $27.13 / $36.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.04 / $17.26 / $44.62
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.91 / $4.91 / $12.42