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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
$98.34 / $98.34 / $98.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.34 / $98.34 / $164.39
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.12 / $251.86 / $771.20
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.66 / $227.84 / $290.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.88 / $492.94 / $1,091.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $35.00 / $37.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.00 / $119.00 / $119.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $3,504.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.11 / $232.11 / $482.05
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $523.54 / $1,225.03
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.62 / $175.33 / $361.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.66 / $191.27 / $331.40