go back

Illinois 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
$33.69 / $33.69 / $33.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $28.90 / $33.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.71 / $70.75 / $395.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.14 / $29.14 / $29.14
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.09 / $35.63 / $90.31
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.02 / $46.02 / $46.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $27.96 / $56.39