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Alabama 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 g of protein, premix

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.07 / $175.07 / $175.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.10 / $175.07 / $272.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.00 / $214.00 / $214.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $185.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.83 / $178.88 / $300.58