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Louisiana 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
$195.14 / $203.72 / $214.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.14 / $214.44 / $214.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.04 / $135.04 / $202.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.03 / $156.15 / $159.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.00 / $119.00 / $119.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.78 / $170.07 / $232.33