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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
$213.80 / $213.80 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $269.15 / $316.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $331.13 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $239.88 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $269.15 / $426.58