go back

Mississippi rates for HCPCS B4199

Parenteral Nutrition Solution; Compounded Amino Acid And Carbohydrates With Electrolytes Trace Elements And Vitamins Including Preparation Any Strength Over 100 Grams Of Protein - Premix (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.94 / $405.94 / $405.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.56 / $405.94 / $405.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.21 / $377.21 / $414.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.25 / $359.25 / $359.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.25 / $208.25 / $208.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.19 / $385.47 / $514.30