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Illinois rates for HCPCS B4168

Parenteral Nutrition Solution; Amino Acid 3.5% (500 Ml = 1 Unit) - Homemix (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $34.22 / $34.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.22 / $29.36 / $34.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.86 / $73.58 / $401.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $16.14 / $16.14
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.96 / $50.34 / $249.98
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.75 / $46.75 / $46.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.94 / $28.15 / $64.45