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Arizona 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
$38.96 / $38.96 / $200.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.26 / $205.17 / $341.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $63.45 / $126.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.91 / $56.91 / $56.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.86 / $86.96 / $325.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.55 / $52.89 / $106.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.55 / $52.89 / $86.94