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California rates for HCPCS B4199

Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 g of protein - premix

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.66 / $149.66 / $1,337.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.66 / $174.03 / $1,337.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.87 / $602.67 / $1,471.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.55 / $226.16 / $463.60
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $548.86 / $1,011.82
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.55 / $302.20 / $456.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.25 / $208.25 / $208.25
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.60 / $463.60 / $509.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $463.60 / $1,066.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.85 / $2,169.65 / $2,202.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.03 / $249.26 / $463.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.14 / $463.60 / $463.60
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.01 / $875.01 / $875.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.64 / $435.77 / $1,168.98