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Parenteral Nutrition, Amino Acid 7% to 8.5%, Home Mix

Iowa rates for HCPCS B4176

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

Rates data updated July 2026.

How much does Parenteral Nutrition, Amino Acid 7% to 8.5%, Home Mix cost?

$60.26

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $70.79 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$57.54$47.86 to $69.18
FacilityA hospital or hospital-owned outpatient department$70.79$67.61 to $79.43

How much rates vary

Facilitymedian $71 · 10th to 90th $48 to $324Professionalmedian $58 · 10th to 90th $37 to $89
$50.0$100.0$200.0facility $71professional $58

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$56.23
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$74.13
Typical High
$125.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$89.13
Typical High
$323.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$75.86
Typical High
$120.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$89.13
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$63.10
Typical High
$120.23
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79

Where Iowa sits

The same service costs 2.5 times more in Montana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $60.26 · 25th of 51
MT $85.11WV $34.67

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.