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Connecticut 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
$257.04 / $257.04 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $323.59 / $389.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $407.38 / $489.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $288.40 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $323.59 / $524.81