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Texas rates for HCPCS B4180

Parenteral nutrition solution: carbohydrates (dextrose), greater than 50% (500 ml = 1 unit), home mix

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.75 / $30.06 / $30.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.62 / $30.68 / $33.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.79 / $24.79 / $24.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.14 / $29.14 / $29.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.86 / $165.67 / $168.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.66 / $30.68 / $42.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.06 / $17.69 / $35.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.55 / $30.99 / $43.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.06 / $29.14 / $32.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.74 / $26.49 / $35.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.40 / $35.40 / $47.79