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Parenteral Nutrition, 10 to 51 g of Protein, Premix

Washington 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 $263 · 10th–90th $214$5130%20%10th90th$263Professionalmedian $224 · 10th–90th $117$1,1220%20%10th90th$224$50.0$100.0$200.0$500.0$1.0K

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
$213.80
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$213.80
Typical High
$1,122.02
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$380.19
Typical High
$724.44
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$75.86
Typical High
$218.78
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$257.04
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$389.05
Typical High
$512.86
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$380.19
Typical High
$724.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$263.03
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$275.42
Typical High
$676.08
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$398.11