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Florida 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
$209.04 / $369.38 / $373.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.04 / $369.38 / $385.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.25 / $208.25 / $208.25
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.55 / $837.55 / $837.55
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.16 / $278.16 / $410.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.28 / $346.65 / $609.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.16 / $226.16 / $463.60