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Kentucky 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
$86.71 / $144.83 / $245.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.71 / $191.41 / $245.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.89 / $257.89 / $257.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.22 / $169.87 / $169.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.43 / $185.43 / $371.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.24 / $283.69 / $436.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.23 / $302.23 / $302.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.00 / $1,243.08 / $1,243.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.66 / $187.20 / $241.23