go back

Colorado 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
$282.80 / $282.80 / $282.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.77 / $282.80 / $405.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.74 / $945.74 / $945.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.16 / $226.16 / $226.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.00 / $180.00 / $180.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.25 / $208.25 / $208.25
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.51 / $404.40 / $522.08
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.14 / $184.14 / $184.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.88 / $602.67 / $871.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.28 / $502.00 / $666.18