| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.61 | $14.61 | $33.69 | |
BCBS
| Facility | $50.03 | $67.59 | $80.03 | |
BCBS
| Professional | $21.51 | $30.73 | $50.07 | |
United
| Professional | $17.66 | $24.81 | $41.89 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.61 | $14.61 | $33.69 | |
BCBS
| Facility | $50.03 | $67.59 | $80.03 | |
BCBS
| Professional | $21.51 | $30.73 | $50.07 | |
United
| Professional | $17.66 | $24.81 | $41.89 |