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Parenteral Nutrition, 10 to 51 g of Protein, Premix

Hawaii 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 July 2026.

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

$263

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $263 for this service. Most negotiated rates run $263 to $263.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $263 · 10th to 90th $263 to $263
professional $263

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
HMSA
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$323.59

Where Hawaii sits

The same service costs 2.6 times more in Montana than in West Virginia. 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.

Hawaii· 6th of 51

$263

MT $316WV $120

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.