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West Virginia 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
$140.06 / $140.06 / $140.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.06 / $205.96 / $317.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.88 / $425.69 / $499.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.52 / $390.52 / $390.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $1,606.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.10 / $263.23 / $466.54