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Idaho 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
$25.75 / $30.99 / $30.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.49 / $32.85 / $44.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.63 / $33.63 / $35.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.10 / $52.92 / $77.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.78 / $24.78 / $35.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.83 / $30.99 / $46.35