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Georgia rates for HCPCS B4176

Parenteral Nutrition Solution; Amino Acid 7% Through 8.5% (500 Ml = 1 Unit) - Homemix (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.80 / $56.80 / $82.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.80 / $57.96 / $66.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.56 / $111.31 / $255.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.86 / $57.84 / $109.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.40 / $107.83 / $136.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.91 / $56.91 / $91.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.74 / $69.56 / $98.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.70 / $70.27 / $102.70