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Maine 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
Professional
Modifier
Low / Median / High Price
$13.70 / $16.14 / $16.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.79 / $41.44 / $47.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.57 / $35.96 / $35.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $16.14 / $16.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $38.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.70 / $16.14 / $16.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.25 / $32.36 / $45.50