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Tennessee 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
$57.96 / $57.96 / $101.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $57.96 / $60.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.91 / $56.91 / $56.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.88 / $325.58 / $330.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.14 / $56.31 / $115.59