go back

New Mexico 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
$60.92 / $60.92 / $60.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.48 / $60.92 / $200.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.56 / $69.56 / $69.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.03 / $45.70 / $79.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.63 / $27.63 / $27.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $77.61 / $92.20