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New Hampshire 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
$12.30 / $12.30 / $14.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $15.85 / $25.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $38.02 / $43.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $48.98 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $17.78 / $38.90