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Florida 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
$182.93 / $323.26 / $326.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.93 / $323.26 / $337.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $170.00 / $170.00
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.99 / $732.99 / $732.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.43 / $243.43 / $359.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.41 / $289.64 / $472.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.72 / $405.72 / $405.72