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Maryland 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
$42.99 / $66.22 / $91.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.81 / $45.81 / $45.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.91 / $56.91 / $56.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.13 / $76.53 / $104.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.97 / $46.27 / $99.55
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.86 / $13.86 / $35.03