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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 July 2026.

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

$398

Typical negotiated rate. In Alaska, July 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 $389 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$398$234 to $417
FacilityA hospital or hospital-owned outpatient department$389$339 to $389

How much rates vary

Facilitymedian $389 · 10th to 90th $126 to $389Professionalmedian $398 · 10th to 90th $234 to $1,549
$100.0$200.0$500.0$1.0Kfacility $389professional $398

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$389.05
Typical High
$389.05
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$389.05
Typical High
$1,318.26
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$234.42
Typical High
$338.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$169.82
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$407.38
Typical High
$1,023.29

Where Alaska sits

The same service costs 2.9 times more in Montana than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Alaska $398 · 11th of 51
MT $490DE $170

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.