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Minnesota 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
$316.23 / $316.23 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $245.47 / $316.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $331.13 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $331.13 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,258.93 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $457.09 / $489.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,202.26 / $2,344.23
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $524.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $331.13 / $537.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $295.12 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $338.84 / $630.96