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Indiana 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
$16.42 / $16.42 / $18.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $16.42 / $16.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.63 / $15.44 / $17.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.40 / $7.40 / $11.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.93 / $17.25 / $21.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.87 / $16.16 / $19.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.44 / $61.44 / $61.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $17.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.74 / $13.61 / $20.61