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Pennsylvania 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
$47.86 / $47.86 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $60.26 / $109.65
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
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
$47.86 / $47.86 / $57.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $57.54 / $79.43
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $79.43
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $66.07 / $109.65