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Connecticut 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
$295.50 / $295.50 / $295.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.43 / $344.07 / $441.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.29 / $463.60 / $530.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.16 / $226.16 / $331.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.86 / $269.83 / $600.19