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Missouri 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
$50.33 / $57.61 / $66.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.33 / $57.61 / $66.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.56 / $73.05 / $321.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.86 / $31.50 / $64.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.91 / $56.91 / $81.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.40 / $141.22 / $325.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.39 / $43.90 / $81.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.14 / $41.81 / $106.04