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West Virginia 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
$29.24 / $29.24 / $29.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.24 / $42.99 / $66.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $88.66 / $104.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.53 / $81.53 / $81.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.91 / $56.91 / $335.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.97 / $52.06 / $97.40