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Texas 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
$389.05 / $398.11 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $389.05 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $467.74 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $398.11 / $562.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $398.11 / $436.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $363.08 / $363.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $389.05 / $575.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $208.93 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $354.81 / $478.63