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North Carolina 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
$21.59 / $21.59 / $21.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.13 / $21.59 / $21.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.78 / $22.47 / $45.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $18.50 / $19.73
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.59 / $23.47 / $29.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.53 / $18.53 / $18.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $20.50 / $62.19
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $117.14 / $117.14