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Hawaii 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
$25.70 / $41.69 / $57.54
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $75.86 / $87.10