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Parenteral Nutrition, over 100 g of Protein, Premix

Iowa 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

Rates data updated July 2026.

How much does Parenteral Nutrition, over 100 g of Protein, Premix cost?

$407

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $468 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$389$324 to $468
FacilityA hospital or hospital-owned outpatient department$468$457 to $525

How much rates vary

Facilitymedian $468 · 10th to 90th $324 to $2,188Professionalmedian $389 · 10th to 90th $245 to $603
$500$1K$2Kfacility $468professional $389

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$380.19
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$676.08
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$467.74
Typical High
$645.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$2,187.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$512.86
Typical High
$812.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$602.56
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$426.58
Typical High
$812.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74

Where Iowa sits

The same service costs 2.7 times more in Montana than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 25th of 51

$407

MT $562DE $209

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.