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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
$127.07 / $127.07 / $127.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.07 / $127.07 / $212.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.33 / $325.43 / $949.28
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.25 / $294.42 / $375.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.14 / $637.16 / $1,411.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $35.00 / $37.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $3,504.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.92 / $299.92 / $622.87
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $676.48 / $1,582.89
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.87 / $226.57 / $466.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.25 / $226.57 / $721.51