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Parenteral Nutrition, 74 to 100 g of Protein, Premix

Alabama 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?

$214

Typical negotiated rate. In Alabama, October 2026.

Insurers have agreed to pay about $214 for this service. Most negotiated rates run $170 to $324.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $214 · 10th to 90th $135 to $355
$200$500professional $214

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$331.13
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$32.36
Median
$32.36
Typical High
$50.12
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$21.38
Median
$21.38
Typical High
$33.11
BCBS Alabama
Setting
Professional
Modifier
10 + 12 + 32 · Mandated service + 81 · Minimal assistant surgeon
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Cigna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$208.93
United
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$295.12
Typical High
$363.08

Where Alabama 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.

Alabama· 46th of 51

$214

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.