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Parenteral Nutrition, 10 to 51 g of Protein, Premix

Nebraska 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

Rates data updated October 2026.

How much does Parenteral Nutrition, 10 to 51 g of Protein, Premix cost?

$257

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $1,549 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$214$129 to $288
FacilityA hospital or hospital-owned outpatient department$1,549$468 to $2,042

How much rates vary

Facilitymedian $1,549 · 10th to 90th $245 to $3,548Professionalmedian $214 · 10th to 90th $98 to $490
$100$200$500$1K$2Kfacility $1,549professional $214

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$257.04
Typical High
$257.04
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,905.46
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$302.00
Typical High
$371.54
Medica
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$331.13
Typical High
$1,202.26
Medica
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$213.80
Typical High
$588.84
Midlands
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$288.40
Typical High
$338.84
United
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$169.82
Typical High
$602.56

Where Nebraska sits

The same service costs 3.3 times more in Iowa than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Nebraska· 9th of 51

$257

IA $282NY $85.11

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.