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Kansas 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
$335.36 / $335.36 / $441.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.36 / $441.26 / $441.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.39 / $312.83 / $331.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.52 / $310.52 / $310.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.25 / $208.25 / $208.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.19 / $400.66 / $2,169.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.19 / $362.65 / $514.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.19 / $231.28 / $592.28