| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $142.10 | $142.10 | $192.03 | |
Cigna
| Professional | $170.00 | $170.00 | $170.00 | |
United
| Professional | $228.67 | $361.14 | $992.08 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $142.10 | $142.10 | $192.03 | |
Cigna
| Professional | $170.00 | $170.00 | $170.00 | |
United
| Professional | $228.67 | $361.14 | $992.08 |