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New Jersey 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
$8.14 / $9.03 / $9.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $9.07 / $20.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $225.00 / $225.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.75 / $20.35 / $20.35
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $16.39 / $16.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $13.81 / $27.22