| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.94 | $7.94 | $7.94 | |
Aetna
| Professional | $7.94 | $7.94 | $20.54 | |
Regence BlueShield
| Facility | $26.83 | $35.22 | $36.20 | |
United
| Professional | $14.45 | $21.08 | $30.31 |
Parenteral Nutrition Solution: Carbohydrates (Dextrose) 50% Or Less (500 Ml = 1 Unit) - Homemix (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.94 | $7.94 | $7.94 | |
Aetna
| Professional | $7.94 | $7.94 | $20.54 | |
Regence BlueShield
| Facility | $26.83 | $35.22 | $36.20 | |
United
| Professional | $14.45 | $21.08 | $30.31 |