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Parenteral Nutrition, 74 to 100 g of Protein, Premix

Arizona 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?

$324

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $324 for this service. Most negotiated rates run $275 to $832.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $977 · 10th to 90th $251 to $2,089Professionalmedian $302 · 10th to 90th $191 to $479
$100$200$500$1K$2Kfacility $977professional $302

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
$229.09
Median
$229.09
Typical High
$229.09
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$1,230.27
Typical High
$2,089.30
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$371.54
Typical High
$645.65
Cigna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Medica
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$251.19
Typical High
$1,905.46
Medica
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$309.03
Typical High
$549.54
United
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$309.03
Typical High
$549.54
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$22.91
Median
$22.91
Typical High
$22.91

Where Arizona 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.

Arizona· 30th of 51

$324

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.