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Parenteral Nutrition, Amino Acid 7% to 8.5%, Home Mix

Missouri rates for HCPCS B4176

Parenteral nutrition solution; amino acid, 7% through 8.5%, (500 ml = 1 unit) - home mix

Rates data updated July 2026.

How much does Parenteral Nutrition, Amino Acid 7% to 8.5%, Home Mix cost?

$57.54

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $70.79 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$57.54$40.74 to $60.26
FacilityA hospital or hospital-owned outpatient department$70.79$69.18 to $70.79

How much rates vary

Facilitymedian $71 · 10th to 90th $58 to $71Professionalmedian $58 · 10th to 90th $30 to $66
$50.0$100.0$200.0facility $71professional $58

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$57.54
Typical High
$66.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$245.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$36.31
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$109.65
Typical High
$323.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$41.69
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$70.79
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$45.71
Typical High
$83.18

Where Missouri sits

The same service costs 2.5 times more in Montana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Missouri $57.54 · 31st of 51
MT $85.11WV $34.67

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.