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Virginia 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
$42.99 / $42.99 / $66.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.77 / $42.99 / $66.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.56 / $69.56 / $73.88
Anthem BCBS
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.22 / $81.40 / $102.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.98 / $46.98 / $72.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.05 / $26.05 / $35.25
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.11 / $65.26 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $65.26 / $9,929.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.97 / $54.75 / $96.59