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Utah 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
$83.06 / $83.06 / $83.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.06 / $83.06 / $214.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.48 / $366.05 / $377.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.12 / $220.40 / $317.04