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New Hampshire 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
$23.99 / $23.99 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $30.90 / $50.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $74.13 / $85.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $95.50 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $34.67 / $75.86