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Texas 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
$30.20 / $30.90 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $30.20 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,548.13 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $34.67 / $44.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $30.90 / $33.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $81.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $33.88 / $44.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $16.22 / $28.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $27.54 / $37.15