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Wisconsin 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

Facilitymedian $468 · 10th–90th $468–$8510%20%40%90th$468Professionalmedian $437 · 10th–90th $245–$7080%20%10th90th$437$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $371.54 / $436.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $776.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,445.44 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $676.08 / $891.25
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $467.74 / $489.78
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $467.74 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $478.63 / $1,148.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $89.13
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $707.95 / $1,380.38
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $2,187.76 / $2,187.76
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $467.74 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $446.68 / $1,202.26