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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
$26.52 / $31.23 / $31.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.31 / $80.17 / $92.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.38 / $69.56 / $69.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.91 / $56.91 / $56.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.61 / $62.61 / $75.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.52 / $31.23 / $31.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.50 / $62.61 / $88.05