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Parenteral Nutrition, Amino Acid over 8.5%, Home Mix

Iowa 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?

$91.20

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $91.20 for this service. Most negotiated rates run $58.88 to $107.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $100 · 10th to 90th $58 to $389Professionalmedian $83 · 10th to 90th $44 to $141
$50$100$200facility $100professional $83

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
Facility
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$57.54
Typical High
$83.18
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.61
Median
$8.71
Typical High
$12.59
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.47
Median
$5.75
Typical High
$8.32
Cigna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$97.72
Typical High
$120.23
Hally Health
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$114.82
Medica
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$100.00
Typical High
$389.05
Medica
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$91.20
Typical High
$173.78
Midlands
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$117.49
United
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$69.18
Typical High
$173.78
Wellmark
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$85.11

Where Iowa 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.

Iowa· 1st of 51

$91.20

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.