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Ohio 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
$18.30 / $18.30 / $85.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $18.30 / $21.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.44 / $26.31 / $42.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $10.59 / $30.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.13 / $27.13 / $32.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.89 / $25.89 / $25.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $20.35
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.64 / $20.35 / $20.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $18.53 / $30.56