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Iowa rates for HCPCS B4178

Parenteral Nutrition Solution: Amino Acid Greater Than 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
$58.01 / $58.01 / $58.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.34 / $61.96 / $79.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.75 / $96.75 / $120.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.97 / $83.49 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.59 / $107.27 / $390.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.69 / $85.90 / $139.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.56 / $93.11 / $114.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.95 / $104.18 / $175.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.65 / $69.41 / $108.00
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.49 / $83.49 / $83.49
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.49 / $83.49 / $83.49