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Maine 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
$25.70 / $41.69 / $138.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $81.28 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $70.79 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $75.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $41.69 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $63.10 / $87.10