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Massachusetts 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
$13.49 / $13.49 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $22.56
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.69 / $36.29 / $105.85
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $33.24 / $39.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.60 / $67.95 / $150.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $35.00 / $37.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.14 / $29.14 / $29.14
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $3,504.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.86 / $31.86 / $66.17
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.86 / $100.00 / $168.15
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $24.04 / $49.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $23.63 / $45.48