go back

Mississippi 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
$225.83 / $225.83 / $225.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.50 / $225.83 / $225.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.84 / $209.84 / $230.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.85 / $199.85 / $199.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.00 / $119.00 / $119.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.78 / $228.68 / $347.39