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Massachusetts 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
$97.72 / $97.72 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $162.18 / $512.86
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $257.04 / $776.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $251.19 / $288.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $426.58
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $257.04 / $776.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $251.19 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $213.80 / $354.81