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New Hampshire 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
$28.83 / $28.83 / $34.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.83 / $30.62 / $31.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $89.08 / $98.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.49 / $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 / $122.03 / $247.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.97 / $41.65 / $90.23
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.14 / $61.75 / $78.59