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Connecticut rates for HCPCS B4180

Parenteral Nutrition Solution; Carbohydrates (Dextrose) Greater Than 50% (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
$22.56 / $22.56 / $22.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.61 / $26.27 / $33.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.44 / $35.40 / $40.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.97 / $29.38 / $34.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.73 / $28.41 / $46.93