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North Carolina 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
$291.79 / $291.79 / $291.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.08 / $291.79 / $291.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.19 / $303.60 / $608.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.93 / $249.93 / $266.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.98 / $291.79 / $350.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.44 / $250.44 / $250.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.25 / $274.29 / $757.12
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.69 / $1,582.89 / $1,582.89