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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 g of protein - premix

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