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Missouri 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
$186.56 / $213.57 / $245.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.56 / $213.57 / $245.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.89 / $270.80 / $1,190.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.22 / $114.79 / $239.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.00 / $119.00 / $301.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.56 / $523.54 / $1,206.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.52 / $162.83 / $300.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.19 / $155.04 / $393.18