go back

Illinois rates for HCPCS B5000

Parenteral Nutrition Solution Compounded Amino Acid Carbohydrates With Electrolytes Trace Elements And Vitamins Including Preparation Anystrength Renal-Aminosyn-Rf Nephramine Renamine-Premix (Revised 01/01/2016) I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $16.42 / $16.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.67 / $14.09 / $16.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.55 / $33.96 / $192.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $10.19 / $10.19
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.25 / $24.15 / $100.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.43 / $22.43 / $22.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $13.63 / $24.18