| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.99 | $30.99 | $30.99 | |
BCBS
| Professional | $24.03 | $24.03 | $24.03 | |
United
| Professional | $17.66 | $43.95 | $79.31 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.99 | $30.99 | $30.99 | |
BCBS
| Professional | $24.03 | $24.03 | $24.03 | |
United
| Professional | $17.66 | $43.95 | $79.31 |