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Massachusetts 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
$125.89 / $125.89 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $213.80 / $660.69
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $323.59 / $1,000.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $323.59 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $549.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $323.59 / $1,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $323.59 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $275.42 / $457.09