go back

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 October 2026.

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

$54.95

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $54.95 for this service. Most negotiated rates run $54.95 to $83.18.

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

Professionalmedian $55 · 10th to 90th $17 to $110
$0.1$1$10$100professional $55

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
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$109.65
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.02
Median
$12.02
Typical High
$16.60
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.94
Median
$7.94
Typical High
$10.96
CareFirst
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.09
Median
$0.09
Typical High
$0.09
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$97.72
Typical High
$120.23
United
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$60.26
Typical High
$186.21
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$16.60
Median
$16.60
Typical High
$16.60

Where Maryland 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.

Maryland· 38th of 51

$54.95

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.