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North Dakota 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
$187.64 / $187.64 / $245.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.64 / $187.64 / $245.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.81 / $242.95 / $285.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.88 / $301.86 / $373.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.64 / $223.29 / $562.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.66 / $214.44 / $410.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.74 / $214.44 / $410.98