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Tennessee 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
$386.24 / $386.24 / $675.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.77 / $386.24 / $405.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.25 / $208.25 / $208.25
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.37 / $2,169.65 / $2,202.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.19 / $348.05 / $726.68