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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.16 / $213.16 / $213.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.30 / $213.16 / $331.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.00 / $260.00 / $260.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $170.00 / $206.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.94 / $303.35 / $365.95