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South Carolina 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
$33.88 / $33.88 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $30.90 / $33.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $38.90 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $33.88 / $70.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $28.18 / $39.81