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Nationwide rates for HCPCS B4197

Parenteral Nutrition Solution; Compounded Amino Acid And Carbohydrates With Electrolytes Trace Elements And Vitamins Including Preparation Any Strength 74 To 100 Grams Of Protein - Premix (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.12 / $323.26 / $355.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.12 / $329.04 / $386.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.72 / $426.01 / $669.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.13 / $265.85 / $397.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.50 / $325.50 / $325.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $170.00 / $170.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.41 / $319.41 / $531.48