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Georgia 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
$269.15 / $275.42 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $275.42 / $316.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $1,023.29 / $1,230.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $275.42 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $151.36 / $151.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $309.03 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $338.84 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $331.13 / $588.84