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Nebraska 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
$34.22 / $34.22 / $34.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $34.22 / $103.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,396.85 / $1,837.24 / $3,839.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.35 / $34.77 / $35.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.47 / $41.63 / $52.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $63.71 / $168.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.69 / $29.90 / $61.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.44 / $45.22 / $49.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $45.22 / $75.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.69 / $29.90 / $61.10