| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.89 | $213.80 | $660.69 | |
BCBS
| Facility | $489.78 | $660.69 | $776.25 | |
BCBS
| Professional | $162.18 | $190.55 | $371.54 | |
United
| Professional | $165.96 | $251.19 | $398.11 |
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 | $125.89 | $213.80 | $660.69 | |
BCBS
| Facility | $489.78 | $660.69 | $776.25 | |
BCBS
| Professional | $162.18 | $190.55 | $371.54 | |
United
| Professional | $165.96 | $251.19 | $398.11 |