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Louisiana 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
$252.14 / $263.23 / $277.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.14 / $277.08 / $277.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.49 / $174.49 / $261.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.90 / $201.77 / $206.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.83 / $219.78 / $297.58