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Illinois 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
$79.45 / $79.45 / $79.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.59 / $68.16 / $79.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.60 / $169.80 / $932.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.79 / $83.49 / $83.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.90 / $99.35 / $128.55
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.54 / $108.54 / $108.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.65 / $65.94 / $109.05