| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $116.72 | $116.72 | $157.72 | |
Cigna
| Professional | $153.00 | $153.00 | $153.00 | |
United
| Professional | $187.83 | $241.85 | $814.85 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $116.72 | $116.72 | $157.72 | |
Cigna
| Professional | $153.00 | $153.00 | $153.00 | |
United
| Professional | $187.83 | $241.85 | $814.85 |