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Utah 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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $8.91 / $10.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $12.02 / $19.05
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $30.90
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $11.48 / $11.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $10.96 / $16.60