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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
$24.02 / $24.02 / $28.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.02 / $25.50 / $26.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.31 / $74.22 / $82.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.56 / $69.56 / $69.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.91 / $56.91 / $56.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.61 / $101.68 / $206.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.31 / $34.70 / $75.19
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.78 / $51.46 / $65.48