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Washington rates for HCPCS B4164

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

Facilitymedian $25 · 10th–90th $20–$470%20%10th90th$25Professionalmedian $20 · 10th–90th $10–$500%20%10th90th$20$10.0$20.0$50.0$100.0

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 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $19.95 / $69.18
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $37.15 / $74.13
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $24.55
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $37.15 / $48.98
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $37.15 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
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
$21.88 / $26.30 / $60.26
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $38.02