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Vermont rates for HCPCS B4164

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
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.73 / $15.73 / $15.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.37 / $15.37 / $20.35
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.37 / $15.37 / $15.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $24.07 / $28.50