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Pennsylvania rates for HCPCS B4164

Parenteral nutrition solution: carbohydrates (dextrose), 50% or less (500 ml = 1 unit), home mix

Facilitymedian $14 · 10th–90th $14–$170%50%90th$14Professionalmedian $17 · 10th–90th $9–$320%10%20%10th90th$17$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $15.85 / $32.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $16.98
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $15.85 / $22.91
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $14.45 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $19.50 / $30.90