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Indiana rates for HCPCS B4176

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.22 / $66.22 / $73.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.86 / $66.22 / $66.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.96 / $62.27 / $69.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.86 / $29.86 / $45.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.47 / $69.56 / $86.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.73 / $70.98 / $80.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.80 / $64.80 / $64.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.42 / $39.42 / $71.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.14 / $55.25 / $83.09