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Parenteral Nutrition, Dextrose over 50%, Home Mix

Virginia rates for HCPCS B4180

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

Rates data updated July 2026.

How much does Parenteral Nutrition, Dextrose over 50%, Home Mix cost?

$33.88

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $33.88 for this service. The price depends on where it is billed: about $29.51 from a physician practice, and about $35.48 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$29.51$21.88 to $35.48
FacilityA hospital or hospital-owned outpatient department$35.48$35.48 to $36.31

How much rates vary

Facilitymedian $35 · 10th to 90th $24 to $38Professionalmedian $30 · 10th to 90th $18 to $47
$20$100$500$2K$10Kfacility $35professional $30

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$33.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$21.88
Typical High
$33.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$38.02
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$58.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$42.66
Typical High
$53.70
Medcost
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Medcost
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$23.99
Typical High
$36.31
Medcost
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$17.78
Sentara
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$35.48
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$34.67
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$25.70
Typical High
$48.98

Where Virginia sits

The same service costs 2.6 times more in Montana than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 13th of 51

$33.88

MT $45.71WV $17.78

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.