| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.38 | $162.38 | $219.43 | |
Cigna
| Professional | $208.25 | $208.25 | $208.25 | |
United
| Professional | $261.30 | $412.68 | $1,133.59 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.38 | $162.38 | $219.43 | |
Cigna
| Professional | $208.25 | $208.25 | $208.25 | |
United
| Professional | $261.30 | $412.68 | $1,133.59 |