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Idaho 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
Professional
Modifier
Low / Median / High Price
$187.64 / $225.83 / $225.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.11 / $225.83 / $322.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.01 / $245.01 / $257.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.98 / $383.97 / $564.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.53 / $180.53 / $257.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.66 / $216.57 / $326.19