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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$191.43 / $191.43 / $441.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.45 / $885.29 / $1,048.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.41 / $400.58 / $652.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.28 / $348.40 / $548.75