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Oklahoma 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
$57.87 / $57.87 / $57.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.87 / $57.87 / $60.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.91 / $56.91 / $56.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.83 / $63.97 / $141.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.14 / $49.66 / $69.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.14 / $52.26 / $69.26