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Maine 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
$31.83 / $37.47 / $37.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.79 / $96.21 / $110.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.88 / $83.49 / $83.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.14 / $75.14 / $90.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.83 / $37.47 / $37.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.40 / $75.14 / $105.68