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Massachusetts 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
$13.70 / $13.70 / $13.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.70 / $13.70 / $22.91
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $62.44 / $193.99
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.94 / $35.11 / $46.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.14 / $68.58 / $151.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $35.00 / $37.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $16.14 / $16.14
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $3,504.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $67.20
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.00 / $100.00 / $170.81
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.80 / $24.42 / $50.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.94 / $23.92 / $46.21