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See a sample rate comparisonHCPCS B4178 Fee Schedule
HCPCS B4178 is classified under Enteral and Parenteral Therapy, in the Parenteral Solutions and Supplies subgroup.
Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit) - homemix
| Key Fact | Detail |
|---|---|
| Service Type | Enteral and Parenteral Therapy Parenteral Solutions and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $68.30 median of the 8 states in the free preview · View Medicaid rates for B4178 |
National average reimbursement for HCPCS B4178 by major payers:
$66.46
BCBS / Anthem
$69.21
UnitedHealthcare
$64.87
Aetna
$45.19
Cigna
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HCPCS B4178
5 of 25 sample ratesHigher to lower in this preview
Arthur M. Blank Hospital, Inc., Arthur M. Blank Hospital
Childrens Healthcare Of Atlanta Inc
$224.19Published rateDevon Daney
Aztec Urgent Care LLC
$116.91Published rateNorthside Hospital, Inc., Northside Hospital Duluth
$80.87Published ratePiedmont Newton Hospital, Inc., Newton Medical Center
Piedmont Newton Hospital Inc
$69.30Published rateBama Heart Doc, P.C., Alabama Heart And Vascular Medicine
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$41.65Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS B4178 vs. Other Parenteral Solutions and Supplies Codes
The table lists codes related to B4178. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| B4176-HCPCS | Low | Parenteral nutrition solution; amino acid, 7% through 8.5%, (500 ml = 1 unit) - homemix |
| B4178-HCPCS | Low | Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit) - homemix |
| B4180-HCPCS | Low | Parenteral nutrition solution; carbohydrates (dextrose), greater than 50% (500 ml=1 unit) - homemix |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS B4178. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the B4178 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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