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Vermont 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
$22.58 / $22.58 / $22.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.10 / $22.10 / $29.14
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.10 / $22.10 / $22.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $34.51 / $40.90