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Utah 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
$26.89 / $26.89 / $26.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.89 / $26.89 / $69.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.28 / $118.53 / $121.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.65 / $71.34 / $102.62