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Wyoming 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
$355.26 / $355.26 / $355.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.82 / $275.82 / $275.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.41 / $503.99 / $909.55