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Maryland 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
Professional
Modifier
Low / Median / High Price
$205.96 / $317.18 / $437.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.07 / $175.07 / $175.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.25 / $366.56 / $499.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.79 / $221.66 / $476.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.86 / $167.86 / $167.86