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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$106.49 / $106.49 / $245.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.63 / $492.50 / $583.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.56 / $205.09 / $334.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.66 / $193.80 / $305.27