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Minnesota 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
$33.69 / $33.69 / $33.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.59 / $33.69 / $33.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.32 / $32.84 / $49.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.32 / $35.40 / $35.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.28 / $126.61 / $304.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.28 / $46.64 / $51.91
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.30 / $115.75 / $239.83
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.88 / $40.88 / $55.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.22 / $37.17 / $71.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $35.40 / $84.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.83 / $35.07 / $84.57