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Nevada 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 Grams Of Protein - Premix (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

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
$225.83 / $245.48 / $744.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.89 / $257.89 / $257.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.91 / $113.22 / $113.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.00 / $119.00 / $195.35
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.89 / $257.89 / $257.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.66 / $207.97 / $393.79