go back

Oklahoma rates for HCPCS B4176

Parenteral Nutrition Solution; Amino Acid 7% Through 8.5% (500 Ml = 1 Unit) - Homemix (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

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