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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$137.60 / $137.60 / $317.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.15 / $636.35 / $753.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.40 / $256.27 / $417.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.25 / $250.44 / $394.46