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South Carolina 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
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $8.91 / $10.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $12.02 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $10.72 / $14.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $11.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $8.91 / $12.30