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Arkansas 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.75 / $207.75 / $207.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.49 / $207.75 / $214.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179,999.82 / $489,999.51 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.88 / $248.66 / $248.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.00 / $119.00 / $119.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.78 / $189.19 / $253.63