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Michigan 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 / $306.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.22 / $34.22 / $34.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.84 / $101.08 / $195.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.15 / $35.96 / $35.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $22.30 / $27.01
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.98 / $27.98 / $34.22
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.98 / $31.49 / $42.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.94 / $27.01 / $33.76