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Vermont 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
$295.83 / $295.83 / $295.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.25 / $208.25 / $290.20
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.20 / $290.20 / $290.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.28 / $452.33 / $535.95