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Connecticut 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
$212.42 / $212.42 / $212.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.60 / $247.33 / $317.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.26 / $333.24 / $381.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.12 / $276.61 / $325.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.28 / $218.66 / $431.42