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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
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $28.84 / $33.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $39.81 / $61.66
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $100.00
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $36.31 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $34.67 / $53.70