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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
$33.69 / $33.69 / $46.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $33.69 / $33.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.04 / $99.51 / $192.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.63 / $35.40 / $35.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $26.59 / $29.14
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.55 / $27.55 / $33.69
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.55 / $30.99 / $41.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $27.32 / $43.87