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Parenteral Nutrition, 74 to 100 g of Protein, Premix

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

Rates data updated October 2026.

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

$389

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $389 for this service. Most negotiated rates run $302 to $457.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $295 · 10th to 90th $295 to $501Professionalmedian $398 · 10th to 90th $245 to $603
$200$500$1Kfacility $295professional $398

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$295.12
Typical High
$407.38
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$389.05
Typical High
$457.09
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$407.38
Median
$467.74
Typical High
$549.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$478.63
Typical High
$588.84
Medica
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$891.25
Medica
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$575.44
Typical High
$645.65
United
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$338.84
Typical High
$645.65

Where North Dakota 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.

North Dakota· 16th of 51

$389

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.