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Washington, DC 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
$317.18 / $317.18 / $317.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.18 / $317.18 / $317.18
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.07 / $175.07 / $175.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.24 / $333.24 / $661.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.83 / $185.14 / $814.85