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West Virginia 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
$15.12 / $15.12 / $15.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.12 / $22.22 / $34.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.28 / $45.83 / $53.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.14 / $42.14 / $42.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $16.14 / $173.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.94 / $28.41 / $50.34