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Parenteral Nutrition, 10 to 51 g of Protein, Premix

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

Rates data updated October 2026.

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

$209

Typical negotiated rate. In Connecticut, October 2026.

Insurers have agreed to pay about $209 for this service. Most negotiated rates run $166 to $214.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $257 · 10th to 90th $200 to $309Professionalmedian $191 · 10th to 90th $129 to $251
$100$200facility $257professional $191

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$144.54
Median
$165.96
Typical High
$213.80
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$257.04
Typical High
$309.03
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$213.80
Typical High
$251.19
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$18.20
Median
$21.38
Typical High
$25.12
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$138.04
Median
$162.18
Typical High
$190.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$208.93
Typical High
$338.84
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$21.88
Median
$24.55
Typical High
$32.36
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$14.45
Median
$16.60
Typical High
$21.38

Where Connecticut sits

The same service costs 3.3 times more in Iowa than in New York. 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.

Connecticut· 30th of 51

$209

IA $282NY $85.11

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.