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Texas 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
$20.73 / $20.94 / $21.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.76 / $21.37 / $23.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.27 / $17.27 / $17.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $20.35
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.06 / $115.41 / $117.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.12 / $21.69 / $29.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $12.58 / $24.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.32 / $21.69 / $30.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $20.35 / $22.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $18.54 / $25.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.66 / $24.66 / $33.29