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Vermont 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
$212.66 / $212.66 / $212.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $208.52
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.52 / $208.52 / $208.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.25 / $325.14 / $385.25