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Vermont 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
Professional
Modifier
Low / Median / High Price
$44.38 / $44.38 / $44.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.72 / $43.72 / $56.91
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.72 / $43.72 / $43.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.06 / $67.84 / $80.39