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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 g of protein - premix

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