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Maryland 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
Professional
Modifier
Low / Median / High Price
$286.52 / $441.26 / $608.94
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.56 / $243.56 / $243.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.25 / $208.25 / $208.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.06 / $509.96 / $695.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.46 / $324.52 / $663.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.35 / $92.35 / $233.51