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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $245.47 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,819.70 / $3,548.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $251.19 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $302.00 / $371.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $331.13 / $1,202.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $213.80 / $436.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $331.13 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $263.03 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $213.80 / $489.78