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Illinois rates for HCPCS B4216

Parenteral Nutrition; Additives (Vitamins Trace Elements Heparin Electrolytes) Homemix Per Day (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.66 / $10.66 / $10.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.14 / $10.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $22.64 / $125.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.96 / $11.20 / $11.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.20 / $15.68 / $60.14
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.56 / $14.56 / $14.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.59 / $8.84 / $17.84