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Mississippi 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
$30.99 / $30.99 / $30.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $30.99 / $30.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.79 / $28.79 / $31.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.42 / $27.42 / $27.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.14 / $29.14 / $29.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.77 / $29.43 / $39.54