go back

Louisiana 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
$52.48 / $52.48 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $57.54 / $66.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $42.66 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $45.71 / $63.10