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Connecticut 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
$164.39 / $164.39 / $164.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.49 / $191.41 / $245.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.87 / $257.89 / $295.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.96 / $214.08 / $251.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.06 / $169.21 / $333.89