| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.88 | $20.89 | $28.84 | |
HMSA
| Professional | $36.31 | $36.31 | $36.31 | |
United
| Professional | $33.11 | $38.90 | $43.65 |
Parenteral nutrition solution: carbohydrates (dextrose), greater than 50% (500 ml = 1 unit), home mix
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.88 | $20.89 | $28.84 | |
HMSA
| Professional | $36.31 | $36.31 | $36.31 | |
United
| Professional | $33.11 | $38.90 | $43.65 |