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Washington, DC 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
$245.48 / $245.48 / $245.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.48 / $245.48 / $245.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.50 / $135.50 / $135.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.89 / $257.89 / $511.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.78 / $143.27 / $630.64