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Indiana 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 / $37.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.65 / $33.69 / $33.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.97 / $31.68 / $35.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.19 / $15.19 / $23.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.87 / $35.40 / $44.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.61 / $34.77 / $41.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.20 / $27.20 / $27.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.05 / $20.05 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.77 / $27.92 / $50.73