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Florida 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
$150.26 / $265.52 / $268.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.26 / $265.52 / $277.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.04 / $602.04 / $602.04
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.94 / $199.94 / $295.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.25 / $226.58 / $388.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.24 / $333.24 / $333.24