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Michigan rates for HCPCS B4180

Parenteral nutrition solution: carbohydrates (dextrose), greater than 50% (500 ml = 1 unit), home mix

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $28.18 / $33.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $107.15 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $35.48 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $69.18 / $81.28
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $30.90 / $43.65
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $27.54 / $44.67