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Oklahoma 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
$385.64 / $385.64 / $385.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.64 / $385.64 / $405.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.94 / $405.94 / $405.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.25 / $208.25 / $208.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.90 / $426.24 / $941.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.19 / $331.05 / $461.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.19 / $331.05 / $461.73