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Texas rates for HCPCS B4164

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

Facilitymedian $21 · 10th–90th $20–$1170%50%10th90th$21Professionalmedian $20 · 10th–90th $12–$230%50%10th90th$20$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
$19.95 / $20.89 / $21.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $19.95 / $22.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,388.44 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $117.49
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $21.38 / $30.20
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $20.89 / $22.91
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $81.28
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $21.38 / $30.90
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $20.89 / $20.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $19.05 / $25.70