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Vermont 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
$164.57 / $164.57 / $164.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.00 / $119.00 / $161.43
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.43 / $161.43 / $161.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.66 / $251.61 / $298.12