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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 g of protein - premix

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $295.12 / $933.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $912.01 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $302.00 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $346.74 / $549.54