| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $463.60 | $463.60 | $485.44 | |
United
| Professional | $429.24 | $509.96 | $578.21 |
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 |
|---|---|---|---|---|---|
HMSA
| Professional | $463.60 | $463.60 | $485.44 | |
United
| Professional | $429.24 | $509.96 | $578.21 |