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Illinois 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
$66.22 / $66.22 / $66.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.99 / $56.80 / $66.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.50 / $141.50 / $777.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.91 / $56.91 / $56.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $79.80 / $107.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.44 / $90.44 / $90.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.70 / $56.13 / $97.46