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Wyoming 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
$225.83 / $225.83 / $225.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.32 / $175.32 / $175.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.66 / $344.63 / $683.27