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Nationwide rates for HCPCS B4193

Parenteral Nutrition Solution; Compounded Amino Acid And Carbohydrates With Electrolytes Trace Elements And Vitamins Including Preparation Any Strength 52 To 73 Grams Of Protein - Premix (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.33 / $265.52 / $291.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.62 / $270.26 / $317.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.24 / $349.90 / $549.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.31 / $218.37 / $326.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.45 / $287.45 / $287.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.25 / $262.36 / $445.78