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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
$7.94 / $7.94 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $14.13 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $20.42 / $20.42
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $15.85 / $33.11