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Vermont 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
Professional
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $7.21
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.21 / $7.21 / $7.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.59 / $10.93 / $12.95