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Alabama rates for HCPCS B4199

Parenteral Nutrition Solution; Compounded Amino Acid And Carbohydrates With Electrolytes Trace Elements And Vitamins Including Preparation Any Strength Over 100 Grams Of Protein - Premix (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.56 / $243.56 / $243.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.03 / $243.56 / $378.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.00 / $297.00 / $297.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.25 / $208.25 / $252.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.19 / $248.86 / $418.17