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See a sample rate comparisonHCPCS B4199 Fee Schedule
HCPCS B4199 is classified under Enteral and Parenteral Therapy, in the Parenteral Solutions and Supplies subgroup.
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix
| Key Fact | Detail |
|---|---|
| Service Type | Enteral and Parenteral Therapy Parenteral Solutions and Supplies |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $379.28 median of the 8 states in the free preview · View Medicaid rates for B4199 |
National average reimbursement for HCPCS B4199 by major payers:
$348.67
BCBS / Anthem
$382.99
UnitedHealthcare
$359.25
Aetna
$367.92
Cigna
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HCPCS B4199
5 of 25 sample ratesHigher to lower in this preview
Hospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$956.34Published rateStephens County Anesthesia Services,LLC
Stephens County Anesthesia Servicesllc
$644.53Published rateTift Regional Health System, Inc., Southwell Medical
Tift Regional Health System Inc
$505.17Published rateAtlanta Vamc
$412.67Published rateUjuka Iloabuchi
$240.52Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS B4199 vs. Other Parenteral Solutions and Supplies Codes
The table lists codes related to B4199. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| B4197-HCPCS | Moderate | Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix |
| B4199-HCPCS | Moderate | Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix |
| B4216-HCPCS | Low | Parenteral nutrition; additives (vitamins, trace elements, heparin, electrolytes) homemix per day |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS B4199. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the B4199 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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