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Kentucky 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
$112.05 / $187.14 / $317.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.05 / $247.33 / $317.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.24 / $333.24 / $333.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.31 / $219.50 / $219.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.08 / $288.08 / $480.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.45 / $352.48 / $563.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.52 / $390.52 / $390.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $1,606.22 / $1,606.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.25 / $245.19 / $311.74