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Oregon 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
$275.42 / $275.42 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $218.78 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $724.44 / $851.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $323.59 / $398.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $323.59 / $346.74
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $331.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $204.17 / $398.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $151.36 / $354.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $645.65 / $1,288.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $489.78 / $851.14