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Parenteral Nutrition, Dextrose 50% or Less, Home Mix

Virginia rates for HCPCS B4164

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

Rates data updated July 2026.

How much does Parenteral Nutrition, Dextrose 50% or Less, Home Mix cost?

$23.44

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $23.44 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $24.55 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$20.42$15.14 to $23.99
FacilityA hospital or hospital-owned outpatient department$24.55$24.55 to $25.12

How much rates vary

Facilitymedian $25 · 10th to 90th $17 to $26Professionalmedian $20 · 10th to 90th $13 to $32
$10$100$1K$10Kfacility $25professional $20

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$23.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$15.14
Typical High
$23.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$26.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$40.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$29.51
Typical High
$37.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Medcost
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$16.60
Typical High
$25.70
Medcost
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$12.59
Sentara
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$24.55
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$24.55
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$18.20
Typical High
$33.88

Where Virginia sits

The same service costs 2.6 times more in Montana than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 13th of 51

$23.44

MT $31.62WV $12.30

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.