go back

Indiana 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 / $87.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.84 / $79.45 / $79.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.95 / $74.72 / $83.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.85 / $35.85 / $54.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.12 / $83.49 / $103.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.59 / $85.40 / $96.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.26 / $82.26 / $82.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.32 / $47.32 / $85.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.76 / $65.34 / $95.60