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Parenteral Nutrition, Amino Acid over 8.5%, Home Mix

Maryland rates for HCPCS B4178

Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit) - home mix

Rates data updated July 2026.

How much does Parenteral Nutrition, Amino Acid over 8.5%, Home Mix cost?

$79.43

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $79.43 for this service. Most negotiated rates run $70.79 to $85.11.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $85 · 10th to 90th $85 to $85Professionalmedian $79 · 10th to 90th $45 to $110
$0.1$1$10$100facility $85professional $79

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$79.43
Typical High
$109.65
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.09
Median
$0.09
Typical High
$0.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$93.33
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$60.26
Typical High
$151.36
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$41.69

Where Maryland sits

The same service costs 3.5 times more in Montana than in Delaware. 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.

Maryland· 15th of 51

$79.43

MT $102DE $29.51

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.