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South Carolina 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
$6.83 / $9.81 / $10.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.20 / $11.20 / $14.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $10.66 / $14.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $8.42 / $10.61