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Parenteral Nutrition, 74 to 100 g of Protein, Premix

Utah 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

Rates data updated July 2026.

Facilitymedian $132 · 10th–90th $132$5620%50%90th$132Professionalmedian $339 · 10th–90th $132$3550%50%10th90th$339$200.0$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
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$338.84
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$562.34
Typical High
$691.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$416.87
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$398.11
Typical High
$602.56