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Colorado 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
$203.28 / $203.28 / $203.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.07 / $203.28 / $291.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.81 / $679.81 / $679.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.83 / $93.27 / $109.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.00 / $180.00 / $180.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.94 / $290.69 / $375.29
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.37 / $132.37 / $132.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.58 / $433.21 / $626.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.25 / $354.13 / $521.35