| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $291.79 | $291.79 | $291.79 | |
BCBS
| Professional | $226.56 | $226.56 | $226.56 | |
United
| Professional | $166.25 | $445.30 | $747.12 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $291.79 | $291.79 | $291.79 | |
BCBS
| Professional | $226.56 | $226.56 | $226.56 | |
United
| Professional | $166.25 | $445.30 | $747.12 |