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Parenteral Nutrition, Amino Acid over 8.5%, Home Mix

West Virginia rates for HCPCS B4178

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

Rates data updated July 2026.

How much does Parenteral Nutrition, Amino Acid over 8.5%, Home Mix cost?

$35.48

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $35.48 for this service. Most negotiated rates run $35.48 to $79.43.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $35 · 10th to 90th $35 to $35Professionalmedian $56 · 10th to 90th $35 to $79
$0.1$1$10$100facility $35professional $56

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.09
Median
$407.38
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$61.66
Typical High
$97.72

Where West Virginia sits

The same service costs 3.5 times more in Montana than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 50th of 51

$35.48

MT $102DE $29.51

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.