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Arizona rates for HCPCS B4180

Parenteral nutrition solution: carbohydrates (dextrose), greater than 50% (500 ml = 1 unit), home mix

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.82 / $19.82 / $102.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.59 / $104.41 / $173.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.20 / $32.29 / $64.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.14 / $29.14 / $29.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.80 / $44.25 / $165.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $26.91 / $48.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $26.91 / $47.33