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Parenteral Nutrition, 10 to 51 g of Protein, Premix

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

Rates data updated July 2026.

Facilitymedian $417 · 10th–90th $98$7940%20%10th90th$417Professionalmedian $234 · 10th–90th $98$3890%20%40%10th90th$234$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$114.82
Typical High
$512.86
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$263.03
Typical High
$812.83
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$251.19
Typical High
$288.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$165.96
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$389.05
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$263.03
Typical High
$812.83
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$251.19
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$234.42
Typical High
$331.13