| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $167.52 | $167.52 | $386.17 | |
BCBS
| Facility | $573.61 | $774.77 | $917.23 | |
BCBS
| Professional | $223.00 | $318.57 | $519.01 | |
United
| Professional | $134.94 | $284.63 | $480.24 |
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 | $167.52 | $167.52 | $386.17 | |
BCBS
| Facility | $573.61 | $774.77 | $917.23 | |
BCBS
| Professional | $223.00 | $318.57 | $519.01 | |
United
| Professional | $134.94 | $284.63 | $480.24 |