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See a sample rate comparisonHCPCS B4216 Fee Schedule
HCPCS B4216 is classified under Enteral and Parenteral Therapy, in the Parenteral Solutions and Supplies subgroup.
Parenteral nutrition; additives (vitamins, trace elements, heparin, electrolytes) homemix per day
| Key Fact | Detail |
|---|---|
| Service Type | Enteral and Parenteral Therapy Parenteral Solutions and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $9.725 median of the 8 states in the free preview · View Medicaid rates for B4216 |
National average reimbursement for HCPCS B4216 by major payers:
$9.03
BCBS / Anthem
$9.27
UnitedHealthcare
$9.40
Aetna
$8.89
Cigna
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HCPCS B4216
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$39.54Published rateEvans Memorial Hospital, Inc.
Evans Memorial Hospital Inc
$16.05Published rateTattnall Hospital Company, LLC, Optim Medical Center - Tattnall
$11.39Published rateAugusta Vamc
$9.97Published rateJeremy Kelley
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$5.59Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS B4216 vs. Other Parenteral Solutions and Supplies Codes
The table lists codes related to B4216. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| B4199-HCPCS | Moderate | Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix |
| B4216-HCPCS | Low | Parenteral nutrition; additives (vitamins, trace elements, heparin, electrolytes) homemix per day |
| B4220-HCPCS | Low | Parenteral nutrition supply kit; premix, per day |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS B4216. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the B4216 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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