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Pennsylvania 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
$40.21 / $40.21 / $48.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.24 / $44.47 / $200.71
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.21 / $40.21 / $48.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.24 / $44.47 / $200.71
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.91 / $56.91 / $56.91
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.72 / $66.22 / $66.22
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.72 / $66.22 / $66.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.70 / $49.65 / $78.39