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Colorado 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
$158.49 / $158.49 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $190.55 / $245.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $549.54 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $758.58 / $758.58
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $263.03 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $251.19 / $371.54