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Vermont rates for HCPCS B4168

Parenteral Nutrition Solution; Amino Acid 3.5% (500 Ml = 1 Unit) - Homemix (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.93 / $22.93 / $22.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $16.14 / $22.58
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.58 / $22.58 / $22.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.44 / $35.06 / $41.55