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Maine 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
$13.49 / $15.89 / $15.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.26 / $40.79 / $46.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.39 / $35.40 / $35.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.14 / $29.14 / $29.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.86 / $31.86 / $38.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $15.89 / $15.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.01 / $31.86 / $44.80