| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.61 | $3.61 | $3.61 | |
Aetna
| Professional | $3.61 | $3.61 | $9.33 | |
Regence BlueShield
| Facility | $12.11 | $15.70 | $16.51 | |
United
| Professional | $6.56 | $10.89 | $13.76 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.61 | $3.61 | $3.61 | |
Aetna
| Professional | $3.61 | $3.61 | $9.33 | |
Regence BlueShield
| Facility | $12.11 | $15.70 | $16.51 | |
United
| Professional | $6.56 | $10.89 | $13.76 |