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Parenteral Nutrition, 10 to 51 g of Protein, Premix

Nationwide rates for HCPCS B4189

Parenteral nutrition solution: compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 g of protein, premix

Rates data updated July 2026.

Facilitymedian $251 · 10th–90th $120$6030%20%10th90th$251Professionalmedian $214 · 10th–90th $112$3020%20%10th90th$214$2.0$20.0$200.0$2.0K$20.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$213.80
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$213.80
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$154.88
Typical High
$436.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$194.98
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$851.14
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$302.00
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$218.78
Typical High
$389.05