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Tennessee 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
$57.96 / $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