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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 Grams Of Protein - Premix (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.21 / $204.60 / $225.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.36 / $209.16 / $245.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.89 / $270.80 / $425.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.22 / $168.99 / $252.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.90 / $247.90 / $247.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.00 / $119.00 / $119.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.66 / $203.72 / $344.94