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Utah 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
$22.40 / $22.40 / $22.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.40 / $22.40 / $57.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.14 / $98.54 / $101.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.76 / $66.83 / $85.51