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Tennessee 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 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $275.42 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $338.84 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $275.42 / $524.81