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New Jersey 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
$85.14 / $94.57 / $94.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.14 / $94.87 / $216.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $225.00 / $225.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.00 / $119.00 / $166.72
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.55 / $171.55 / $171.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.33 / $144.44 / $344.94