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Maryland 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
$21.88 / $33.69 / $46.49
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.31 / $23.31 / $23.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.14 / $29.14 / $29.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.09 / $38.94 / $53.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $24.78 / $47.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $7.05 / $17.82