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Maine 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
$9.40 / $11.07 / $11.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.86 / $28.42 / $32.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.93 / $24.66 / $24.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $20.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.19 / $22.19 / $26.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.40 / $11.07 / $11.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.46 / $26.33 / $34.13