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Parenteral Nutrition, 10 to 51 g of Protein, Premix

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

Rates data updated July 2026.

Facilitymedian $83 · 10th–90th $83$3550%50%90th$83Professionalmedian $214 · 10th–90th $83$2240%50%10th90th$214$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$213.80
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$354.81
Typical High
$446.68
Select Health
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$263.03
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$251.19
Typical High
$380.19