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North Carolina 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
$60.92 / $60.92 / $60.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.80 / $60.92 / $60.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.37 / $63.37 / $127.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.18 / $52.18 / $55.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.92 / $66.22 / $82.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.26 / $52.26 / $52.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.70 / $57.84 / $158.03
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.88 / $330.46 / $330.46