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Idaho 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
$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