go back

Michigan 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
$66.07 / $66.07 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $54.95 / $66.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $208.93 / $398.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $134.90 / $158.49
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $60.26 / $85.11
Priority Health
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
$34.67 / $54.95 / $87.10