| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $405.72 | $405.72 | $424.84 | |
United
| Professional | $375.63 | $446.29 | $506.03 |
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 |
|---|---|---|---|---|---|
HMSA
| Professional | $405.72 | $405.72 | $424.84 | |
United
| Professional | $375.63 | $446.29 | $506.03 |