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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$154.88 / $257.04 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $812.83 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $239.88 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $302.00 / $478.63