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Wyoming 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
$291.79 / $291.79 / $291.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.56 / $226.56 / $226.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.25 / $445.30 / $747.12