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Nebraska 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
$441.26 / $441.26 / $441.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.12 / $441.26 / $1,337.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,396.85 / $1,837.24 / $3,839.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.08 / $448.19 / $452.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.07 / $537.38 / $671.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.66 / $595.70 / $2,169.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.50 / $385.47 / $788.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.47 / $579.67 / $637.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.00 / $579.67 / $974.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.50 / $385.47 / $592.28