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Maine 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
Professional
Modifier
Low / Median / High Price
$6.58 / $7.75 / $7.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.69 / $19.88 / $22.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $17.25 / $17.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $10.19 / $10.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.53 / $15.53 / $18.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.58 / $7.75 / $7.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $15.53 / $21.84