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North Dakota 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
$239.88 / $239.88 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $281.84 / $316.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $316.23 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $478.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $288.40 / $724.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $251.19 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $309.03 / $501.19