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Washington, DC 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
$441.26 / $441.26 / $441.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.26 / $441.26 / $441.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.56 / $243.56 / $243.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.60 / $463.60 / $920.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.19 / $248.86 / $1,133.59