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Parenteral Nutrition, 74 to 100 g of Protein, Premix

West Virginia 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 October 2026.

How much does Parenteral Nutrition, 74 to 100 g of Protein, Premix cost?

$302

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $302 for this service. Most negotiated rates run $178 to $661.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $562 · 10th to 90th $562 to $562Professionalmedian $295 · 10th to 90th $170 to $741
$200$500$1K$2Kfacility $562professional $295

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Cigna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$1,995.26
United
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$346.74
Typical High
$741.31

Where West Virginia sits

The same service costs 3.2 times more in Iowa than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 34th of 51

$302

IA $447NY $141

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.