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Montana rates for HCPCS B4168

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.49 / $103.75 / $103.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.76 / $37.76 / $37.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.76 / $37.76 / $37.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.76 / $37.76 / $37.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.34 / $28.34 / $37.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.94 / $48.05 / $53.02