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Parenteral Nutrition, 74 to 100 g of Protein, Premix

Alaska 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 g of protein - premix

Rates data updated October 2026.

How much does Parenteral Nutrition, 74 to 100 g of Protein, Premix cost?

$398

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $339 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$398$234 to $398
FacilityA hospital or hospital-owned outpatient department$339$234 to $389

How much rates vary

Facilitymedian $339 · 10th to 90th $126 to $389Professionalmedian $398 · 10th to 90th $234 to $676
$100$200$500$1Kfacility $339professional $398

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Moda Health
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$389.05
Typical High
$389.05
Moda Health
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$389.05
Typical High
$416.87
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Providence
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$229.09
Typical High
$323.59
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$169.82
Typical High
$302.00
United
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$676.08
Typical High
$1,122.02

Where Alaska sits

The same service costs 3.2 times more in Iowa than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 15th of 51

$398

IA $447NY $141

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.