| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.36 | $2.36 | $3.20 | |
Cigna
| Professional | $5.50 | $5.50 | $5.50 | |
United
| Professional | $3.80 | $4.90 | $16.48 |
Parenteral Nutrition Solution Compounded Amino Acid And Carbohydrates With Electrolytes Trace Elements And Vitamins Including Preparation Anystrength Hepatic Hepatamine-Premix (Revised 01/01/2016)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.36 | $2.36 | $3.20 | |
Cigna
| Professional | $5.50 | $5.50 | $5.50 | |
United
| Professional | $3.80 | $4.90 | $16.48 |