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Parenteral Nutrition, Amino Acid over 8.5%, Home Mix

Alaska rates for HCPCS B4178

Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit) - home mix

Rates data updated July 2026.

How much does Parenteral Nutrition, Amino Acid over 8.5%, Home Mix cost?

$81.28

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $81.28 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$81.28$60.26 to $85.11
FacilityA hospital or hospital-owned outpatient department$81.28$81.28 to $81.28

How much rates vary

Facilitymedian $81 · 10th to 90th $49 to $98Professionalmedian $81 · 10th to 90th $49 to $316
$0.1$1$10$100facility $81professional $81

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.09
Median
$0.09
Typical High
$0.09
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$81.28
Typical High
$81.28
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$81.28
Typical High
$275.42
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Providence
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$69.18
Typical High
$97.72
Providence
Setting
Professional
Modifier
Global
Typical Low
$0.09
Median
$60.26
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$208.93

Where Alaska sits

The same service costs 3.5 times more in Montana than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 11th of 51

$81.28

MT $102DE $29.51

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.