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Kansas 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
$241.06 / $241.06 / $317.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.06 / $317.18 / $317.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.05 / $306.70 / $325.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.43 / $304.43 / $304.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.73 / $288.01 / $1,559.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.83 / $260.69 / $369.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.83 / $249.83 / $345.84