go back

New Mexico 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
$30.90 / $30.90 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $28.84 / $33.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $22.39 / $46.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $16.22 / $16.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $39.81 / $47.86