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Nebraska 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
$66.22 / $66.22 / $66.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.34 / $66.22 / $200.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,396.85 / $1,837.24 / $3,839.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.54 / $67.26 / $67.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.44 / $80.63 / $100.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.22 / $123.27 / $325.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.49 / $57.84 / $118.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.30 / $86.45 / $95.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.00 / $86.45 / $146.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.14 / $52.06 / $118.22