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Mississippi rates for HCPCS B4164

Parenteral Nutrition Solution: Carbohydrates (Dextrose) 50% Or Less (500 Ml = 1 Unit) - Homemix (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.59 / $21.59 / $21.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.95 / $21.59 / $21.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.05 / $20.05 / $22.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.10 / $19.10 / $19.10
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 / $21.87 / $27.53