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Maine 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
Professional
Modifier
Low / Median / High Price
$4.26 / $5.03 / $5.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.84 / $12.91 / $14.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $11.20 / $11.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.08 / $10.08 / $12.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $5.03 / $5.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $11.96 / $14.18