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Louisiana 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
$346.74 / $346.74 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $389.05 / $436.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $288.40 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $309.03 / $416.87