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New Hampshire 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
$12.41 / $12.41 / $14.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.41 / $13.18 / $13.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.72 / $38.36 / $42.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.96 / $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 / $52.55 / $106.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $17.94 / $38.86
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.17 / $26.59 / $33.84