| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.88 | $245.47 | $338.84 | |
HMSA
| Professional | $416.87 | $416.87 | $436.52 | |
United
| Professional | $371.54 | $446.68 | $501.19 |
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 | $154.88 | $245.47 | $338.84 | |
HMSA
| Professional | $416.87 | $416.87 | $436.52 | |
United
| Professional | $371.54 | $446.68 | $501.19 |