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Parenteral Nutrition, 74 to 100 g of Protein, Premix

Iowa 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

Rates data updated October 2026.

How much does Parenteral Nutrition, 74 to 100 g of Protein, Premix cost?

$447

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $447 for this service. Most negotiated rates run $288 to $525.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $490 · 10th to 90th $282 to $1,905Professionalmedian $407 · 10th to 90th $209 to $676
$200$500$1Kfacility $490professional $407

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$281.84
Typical High
$407.38
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$32.36
Median
$41.69
Typical High
$60.26
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$21.38
Median
$28.18
Typical High
$40.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$467.74
Typical High
$588.84
Hally Health
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$562.34
Medica
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$489.78
Typical High
$1,905.46
Medica
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$446.68
Typical High
$851.14
Midlands
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$575.44
United
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$338.84
Typical High
$831.76
Wellmark
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$416.87

Where Iowa sits

The same service costs 3.2 times more in Iowa than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 1st of 51

$447

IA $447NY $141

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.