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Nebraska 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
$204.17 / $316.23 / $316.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,819.70 / $3,548.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $323.59 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $389.05 / $478.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $426.58 / $1,548.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $275.42 / $562.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $426.58 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $338.84 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $275.42 / $630.96