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Tennessee 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
$29.96 / $29.96 / $52.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.36 / $29.96 / $31.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $16.14 / $16.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.00 / $168.29 / $170.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.96 / $27.85 / $56.34