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Utah 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
$11.57 / $11.57 / $11.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.57 / $11.57 / $29.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.36 / $50.94 / $52.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.07 / $34.54 / $44.21