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Utah 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
$11.39 / $11.39 / $11.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.39 / $11.39 / $29.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.94 / $50.45 / $52.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.74 / $34.00 / $47.30