go back

New Jersey 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
$153.05 / $170.02 / $170.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.05 / $170.54 / $389.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $225.00 / $225.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.25 / $208.25 / $299.63
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.38 / $308.38 / $308.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.11 / $277.77 / $620.04