| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $257.89 | $257.89 | $270.05 | |
United
| Professional | $238.76 | $283.69 | $321.66 |
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 |
|---|---|---|---|---|---|
HMSA
| Professional | $257.89 | $257.89 | $270.05 | |
United
| Professional | $238.76 | $283.69 | $321.66 |