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Utah 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
$149.31 / $149.31 / $149.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.31 / $149.31 / $386.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.41 / $658.33 / $678.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.64 / $384.51 / $569.89