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North Dakota 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
$337.29 / $337.29 / $441.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.29 / $337.29 / $441.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.89 / $436.72 / $513.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.38 / $542.75 / $671.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.29 / $401.38 / $1,011.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.28 / $385.47 / $738.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.09 / $385.47 / $738.76