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New Hampshire rates for HCPCS B4178

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $37.15 / $60.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $89.13 / $102.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
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
$75.86 / $114.82 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $41.69 / $91.20