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Tennessee 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
$19.95 / $20.42 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $19.95 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $20.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $25.12 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $20.42 / $38.90