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Louisiana 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
$306.99 / $320.48 / $337.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.99 / $337.35 / $337.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.43 / $212.43 / $318.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.29 / $245.65 / $251.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $170.00 / $170.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.94 / $267.56 / $396.93