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Tennessee 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
$214.87 / $214.87 / $376.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.02 / $214.87 / $225.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.00 / $119.00 / $119.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.98 / $1,206.97 / $1,225.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.78 / $199.85 / $404.26