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Indiana 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 / $486.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.73 / $441.26 / $441.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.24 / $414.92 / $463.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.55 / $226.16 / $305.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.59 / $463.60 / $577.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.18 / $438.24 / $536.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.14 / $112.14 / $112.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.52 / $298.52 / $475.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.19 / $365.82 / $593.77