go back

Kansas 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
$186.56 / $186.56 / $245.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.56 / $245.48 / $245.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.30 / $295.30 / $295.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.00 / $119.00 / $119.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.56 / $222.87 / $1,206.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.78 / $201.73 / $286.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.78 / $203.03 / $267.63