go back

Louisiana 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
$8.47 / $8.84 / $9.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.47 / $9.31 / $9.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $6.78 / $6.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $6.74 / $10.09