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New Hampshire rates for HCPCS B4216

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.87 / $3.87 / $4.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.87 / $4.11 / $4.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.19 / $11.95 / $13.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.20 / $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 / $16.37 / $33.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $5.59 / $12.10
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $8.27 / $10.54