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South Carolina 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
$21.59 / $30.99 / $33.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.40 / $35.40 / $44.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.89 / $33.69 / $50.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.06 / $14.06 / $14.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.77 / $25.30 / $33.54