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Parenteral Nutrition, 10 to 51 g of Protein, Premix

Alaska 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.

How much does Parenteral Nutrition, 10 to 51 g of Protein, Premix cost?

$251

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $251 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$251$151 to $263
FacilityA hospital or hospital-owned outpatient department$251$214 to $251

How much rates vary

Facilitymedian $251 · 10th to 90th $112 to $251Professionalmedian $251 · 10th to 90th $151 to $977
$100$200$500$1Kfacility $251professional $251

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$251.19
Typical High
$251.19
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$251.19
Typical High
$851.14
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$151.36
Typical High
$213.80
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$120.23
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$257.04
Typical High
$645.65

Where Alaska sits

The same service costs 2.6 times more in Montana than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 12th of 51

$251

MT $316WV $120

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.