go back

Missouri 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
$17.84 / $20.42 / $23.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.84 / $20.42 / $23.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.66 / $25.89 / $113.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.59 / $11.17 / $22.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $28.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $50.06 / $115.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.19 / $15.57 / $28.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $14.82 / $37.59