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Michigan rates for HCPCS B4164

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

Facilitymedian $26 · 10th–90th $20–$1120%20%10th90th$26Professionalmedian $20 · 10th–90th $12–$250%20%10th90th$20$5.0$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 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $19.95 / $22.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $74.13 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $24.55 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $44.67 / $52.48
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $21.38 / $30.20
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
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
$12.30 / $19.50 / $31.62