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North Carolina 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
$210.57 / $225.83 / $225.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.77 / $234.94 / $471.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.42 / $193.43 / $193.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.81 / $225.83 / $271.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.80 / $193.80 / $193.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.57 / $208.17 / $585.96
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.98 / $1,225.03 / $1,225.03