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Indiana 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 / $11.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $10.66 / $10.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.70 / $10.02 / $11.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $3.99 / $7.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $11.76 / $13.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $11.32 / $12.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $5.27 / $11.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $8.77 / $13.44