go back

Florida 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
$116.28 / $205.49 / $207.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.28 / $205.49 / $214.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.00 / $119.00 / $119.00
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.94 / $465.94 / $465.94
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.74 / $154.74 / $228.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.66 / $184.11 / $334.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.89 / $257.89 / $257.89