| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.04 | $6.04 | $8.17 | |
Cigna
| Professional | $10.19 | $10.19 | $10.19 | |
United
| Professional | $9.72 | $12.51 | $42.19 |
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
| Professional | $6.04 | $6.04 | $8.17 | |
Cigna
| Professional | $10.19 | $10.19 | $10.19 | |
United
| Professional | $9.72 | $12.51 | $42.19 |