| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.88 | $257.04 | $812.83 | |
BCBS
| Facility | $588.84 | $812.83 | $933.25 | |
BCBS
| Professional | $204.17 | $239.88 | $467.74 | |
United
| Professional | $204.17 | $302.00 | $478.63 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.88 | $257.04 | $812.83 | |
BCBS
| Facility | $588.84 | $812.83 | $933.25 | |
BCBS
| Professional | $204.17 | $239.88 | $467.74 | |
United
| Professional | $204.17 | $302.00 | $478.63 |