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Idaho 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
Professional
Modifier
Low / Median / High Price
$50.61 / $60.92 / $60.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.96 / $64.58 / $88.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.09 / $66.09 / $73.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.14 / $103.37 / $151.97
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.70 / $48.70 / $69.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.18 / $61.30 / $87.95