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Montana rates for HCPCS B4164

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

Facilitymedian $30 · 10th–90th $24–$430%20%40%10th90th$30Professionalmedian $20 · 10th–90th $15–$1070%20%10th90th$20$10.0$20.0$50.0$100.0

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
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.95 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $42.66 / $42.66
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $42.66 / $42.66
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $25.70 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $31.62 / $36.31