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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
$242.45 / $242.45 / $317.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.45 / $242.45 / $317.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.69 / $313.91 / $369.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.25 / $390.11 / $482.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.45 / $288.52 / $727.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.25 / $277.08 / $531.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.16 / $249.17 / $531.04