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Montana rates for HCPCS B4216

Parenteral nutrition; additives (vitamins, trace elements, Heparin, electrolytes), home mix, per day

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.81 / $32.31 / $32.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.76 / $11.76 / $11.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.76 / $11.76 / $11.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.76 / $11.76 / $11.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $8.83 / $11.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.12 / $14.61 / $16.51