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Parenteral Nutrition, 10 to 51 g of Protein, Premix

Virginia 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 October 2026.

How much does Parenteral Nutrition, 10 to 51 g of Protein, Premix cost?

$224

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $245 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$214$158 to $251
FacilityA hospital or hospital-owned outpatient department$245$195 to $257

How much rates vary

Facilitymedian $245 · 10th to 90th $148 to $398Professionalmedian $214 · 10th to 90th $135 to $331
$100$200$500$1K$2K$5K$10Kfacility $245professional $214

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$245.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$245.47
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$23.99
Median
$23.99
Typical High
$37.15
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$15.85
Median
$15.85
Typical High
$24.55
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$275.42
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$251.19
Typical High
$251.19
CareFirst
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Cigna
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$354.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$309.03
Typical High
$389.05
Medcost
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Medcost
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$173.78
Typical High
$269.15
Medcost
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$131.83
Sentara
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$213.80
Typical High
$562.34
Sentara
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$213.80
Typical High
$758.58
United
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$239.88
Typical High
$346.74

Where Virginia sits

The same service costs 3.3 times more in Iowa than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 22nd of 51

$224

IA $282NY $85.11

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.