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West Virginia rates for HCPCS B4164

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.36 / $10.36 / $10.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.36 / $15.24 / $23.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.17 / $31.70 / $36.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.90 / $28.90 / $28.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $118.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.36 / $18.13 / $34.52