| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.55 | $5.55 | $5.55 | |
Aetna
| Professional | $5.55 | $5.55 | $14.38 | |
Regence BlueShield
| Facility | $19.04 | $24.28 | $25.41 | |
United
| Professional | $10.11 | $14.74 | $21.22 |
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 | $5.55 | $5.55 | $5.55 | |
Aetna
| Professional | $5.55 | $5.55 | $14.38 | |
Regence BlueShield
| Facility | $19.04 | $24.28 | $25.41 | |
United
| Professional | $10.11 | $14.74 | $21.22 |