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Texas 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

Facilitymedian $355 · 10th–90th $295–$1,9500%20%10th90th$355Professionalmedian $339 · 10th–90th $204–$3890%20%40%10th90th$339$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $354.81 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $346.74 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $1,949.84 / $1,949.84
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $354.81 / $489.78
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $354.81 / $389.05
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $316.23 / $316.23
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $338.84 / $501.19
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $169.82 / $204.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $416.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $309.03 / $416.87