| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $137.60 | $137.60 | $317.18 | |
BCBS
| Facility | $471.15 | $636.35 | $753.37 | |
BCBS
| Professional | $179.40 | $256.27 | $417.53 | |
United
| Professional | $166.25 | $250.44 | $394.46 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $137.60 | $137.60 | $317.18 | |
BCBS
| Facility | $471.15 | $636.35 | $753.37 | |
BCBS
| Professional | $179.40 | $256.27 | $417.53 | |
United
| Professional | $166.25 | $250.44 | $394.46 |