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Parenteral Nutrition, 10 to 51 g of Protein, Premix

Indiana 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.

Facilitymedian $257 · 10th–90th $112$2630%50%10th90th$257Professionalmedian $170 · 10th–90th $112$2450%20%10th90th$170$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$245.47
Typical High
$245.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$257.04
Typical High
$263.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$117.49
Typical High
$223.87
CareSource
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$263.03
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$213.80
Typical High
$295.12