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North Dakota 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
$295.18 / $295.18 / $386.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.18 / $295.18 / $386.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.97 / $382.19 / $449.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.25 / $474.95 / $587.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.18 / $351.26 / $885.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.41 / $337.35 / $646.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.47 / $337.35 / $646.52