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Tennessee 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
$338.02 / $338.02 / $591.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.35 / $338.02 / $355.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $170.00 / $170.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.94 / $1,898.77 / $1,927.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.94 / $314.39 / $674.40