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Parenteral Nutrition, Amino Acid over 8.5%, Home Mix

Hawaii rates for HCPCS B4178

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

Rates data updated October 2026.

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

$85.11

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $85.11 for this service. Most negotiated rates run $85.11 to $91.20.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $85 · 10th to 90th $85 to $91
$50$100professional $85

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
HMSA
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
United
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$104.71

Where Hawaii sits

The same service costs 5.5 times more in Iowa than in Kansas. 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.

Hawaii· 4th of 51

$85.11

IA $91.20KS $16.60

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.