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Indiana rates for HCPCS B4168

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $34.22 / $37.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.85 / $34.22 / $34.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.41 / $32.18 / $35.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.43 / $15.43 / $23.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.12 / $35.96 / $44.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.91 / $33.90 / $41.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.94 / $37.94 / $37.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.37 / $20.37 / $36.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.96 / $28.13 / $46.05