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North Dakota 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
$25.75 / $25.75 / $33.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.75 / $25.75 / $33.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.35 / $39.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.88 / $41.28 / $51.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.75 / $30.64 / $77.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $29.43 / $56.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.83 / $29.43 / $56.40