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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$14.61 / $14.61 / $33.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.03 / $67.59 / $80.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.51 / $30.73 / $50.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $24.81 / $41.89