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South Carolina 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
$66.22 / $66.22 / $66.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.44 / $60.92 / $66.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.56 / $69.56 / $86.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.98 / $66.22 / $120.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.63 / $27.63 / $27.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.07 / $54.87 / $65.92