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Nebraska 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
$7.78 / $10.66 / $32.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,396.85 / $1,837.24 / $3,839.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.39 / $10.83 / $10.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.99 / $13.13 / $16.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.66 / $19.85 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $9.31 / $19.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.29 / $14.08 / $15.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $14.08 / $23.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $9.31 / $19.05