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Pennsylvania 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
$20.78 / $20.78 / $25.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.12 / $22.99 / $103.75
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.78 / $20.78 / $25.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.12 / $22.99 / $103.75
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $16.14 / $16.14
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $34.22 / $34.22
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $34.22 / $34.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.94 / $28.41 / $51.53