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Pennsylvania 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
$48.25 / $48.25 / $58.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.09 / $53.36 / $240.85
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.25 / $48.25 / $58.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.09 / $53.36 / $240.85
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.69 / $79.45 / $79.45
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.69 / $79.45 / $79.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.65 / $65.94 / $109.95