go back

Colorado 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 Grams Of Protein - Premix (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.49 / $247.49 / $247.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.69 / $247.49 / $355.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.67 / $827.67 / $827.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.50 / $113.55 / $133.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.00 / $180.00 / $180.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $170.00 / $170.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.86 / $353.91 / $456.89
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.15 / $161.15 / $161.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.58 / $527.44 / $762.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.41 / $429.99 / $634.75