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Parenteral Nutrition, 10 to 51 g of Protein, Premix

Maryland 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 October 2026.

How much does Parenteral Nutrition, 10 to 51 g of Protein, Premix cost?

$186

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $186 for this service. Most negotiated rates run $135 to $263.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $186 · 10th to 90th $129 to $339
$100$200$500professional $186

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$338.84
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$37.15
Median
$37.15
Typical High
$51.29
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$24.55
Median
$24.55
Typical High
$33.88
CareFirst
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$302.00
Typical High
$371.54
United
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$186.21
Typical High
$575.44
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$128.82

Where Maryland sits

The same service costs 3.3 times more in Iowa than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maryland· 36th of 51

$186

IA $282NY $85.11

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.