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Minnesota 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 / $66.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.34 / $66.22 / $66.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.60 / $64.54 / $96.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.66 / $69.56 / $69.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.35 / $247.25 / $594.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.43 / $91.08 / $102.39
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.28 / $226.04 / $468.34
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.63 / $80.63 / $109.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.46 / $76.80 / $141.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.70 / $69.56 / $166.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.14 / $57.84 / $140.60