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Idaho rates for HCPCS B4168

Parenteral nutrition solution; amino acid, 3.5%, (500 ml = 1 unit) - home mix

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.16 / $31.49 / $31.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.96 / $33.38 / $51.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.15 / $34.15 / $35.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.53 / $53.43 / $78.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.17 / $25.17 / $35.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.05 / $31.68 / $47.08