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Wyoming 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
$21.59 / $21.59 / $21.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.77 / $16.77 / $16.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $30.62 / $55.28