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New Jersey 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
$110.01 / $122.21 / $122.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.01 / $122.59 / $280.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $225.00 / $225.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $215.34
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.66 / $221.66 / $221.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.57 / $172.90 / $445.69