| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.33 | $90.33 | $122.06 | |
Cigna
| Professional | $119.00 | $119.00 | $119.00 | |
United
| Professional | $145.35 | $187.15 | $630.64 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.33 | $90.33 | $122.06 | |
Cigna
| Professional | $119.00 | $119.00 | $119.00 | |
United
| Professional | $145.35 | $187.15 | $630.64 |