go back

Montana rates for HCPCS B4178

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.09 / $240.85 / $240.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.66 / $87.66 / $87.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.66 / $87.66 / $87.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.66 / $87.66 / $87.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.79 / $65.79 / $87.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.39 / $107.70 / $123.09