go back

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