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Alaska rates for HCPCS B4176

Parenteral nutrition solution; amino acid, 7% through 8.5%, (500 ml = 1 unit) - home mix

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $57.54 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $67.61 / $229.09
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $57.54 / $77.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $58.88 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $112.20 / $173.78