go back

Wyoming 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
$30.99 / $30.99 / $30.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.03 / $24.03 / $24.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $43.95 / $79.31