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Minnesota 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
$245.48 / $245.48 / $245.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.20 / $245.48 / $245.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.93 / $239.27 / $359.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.32 / $257.89 / $257.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.70 / $918.52 / $2,209.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.86 / $338.36 / $379.57
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.00 / $839.75 / $1,739.86
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.88 / $298.88 / $406.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.58 / $257.89 / $523.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.66 / $257.89 / $616.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.74 / $226.04 / $616.24