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Idaho 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
Professional
Modifier
Low / Median / High Price
$60.73 / $73.09 / $73.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.55 / $77.48 / $112.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.31 / $79.31 / $83.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.61 / $124.34 / $182.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.44 / $58.44 / $83.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.61 / $73.08 / $109.36