go back

New Jersey 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
$133.94 / $148.79 / $148.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.94 / $149.25 / $341.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $225.00 / $225.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $170.00 / $262.12
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.88 / $269.88 / $269.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.41 / $227.25 / $447.83