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