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Michigan rates for HCPCS B4176

Parenteral Nutrition Solution; Amino Acid 7% Through 8.5% (500 Ml = 1 Unit) - Homemix (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.22 / $66.22 / $107.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.99 / $66.22 / $66.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.36 / $195.55 / $377.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.09 / $69.56 / $69.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.34 / $52.26 / $56.91
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.14 / $54.14 / $66.22
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.14 / $60.92 / $81.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.70 / $53.70 / $86.76