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Pennsylvania 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
$6.47 / $6.47 / $7.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.71 / $7.16 / $32.31
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.47 / $6.47 / $7.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.71 / $7.16 / $32.31
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.01 / $10.66 / $10.66
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $10.66 / $10.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.59 / $8.84 / $13.03