go back

Oklahoma 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
$20.51 / $20.51 / $20.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.51 / $20.51 / $21.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $20.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.34 / $22.67 / $50.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $17.61 / $24.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $17.61 / $24.56