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Arizona 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
Professional
Modifier
Low / Median / High Price
$138.04 / $269.15 / $1,445.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $676.08 / $1,202.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $302.00 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $331.13 / $1,548.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $263.03 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $251.19 / $416.87