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Texas 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
$9.42 / $9.52 / $9.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.16 / $9.71 / $10.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.74 / $85.00 / $85.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.47 / $9.81 / $13.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $5.78 / $11.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.47 / $9.81 / $14.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $5.09 / $10.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.65 / $8.42 / $11.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.20 / $11.20 / $15.12