go back

Michigan 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
$399.00 / $441.26 / $441.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.52 / $441.26 / $441.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.41 / $1,303.13 / $2,517.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.42 / $463.60 / $463.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.25 / $139.25 / $288.64
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.91 / $360.91 / $441.26
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.91 / $404.21 / $543.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.13 / $160.13 / $160.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.28 / $357.98 / $574.86