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 g of protein - premix

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