| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.85 | $15.85 | $15.85 | |
Aetna
| Professional | $6.03 | $15.85 | $34.67 | |
Kaiser Permanente
| Professional | $24.55 | $24.55 | $24.55 | |
United
| Professional | $5.75 | $28.18 | $42.66 |
Parenteral nutrition solution: compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, renal - Amirosyn RF, NephrAmine, RenAmine - premix
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.85 | $15.85 | $15.85 | |
Aetna
| Professional | $6.03 | $15.85 | $34.67 | |
Kaiser Permanente
| Professional | $24.55 | $24.55 | $24.55 | |
United
| Professional | $5.75 | $28.18 | $42.66 |