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Vermont rates for HCPCS B4164

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

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