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Michigan 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 / $107.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.67 / $16.42 / $16.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.39 / $48.49 / $93.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $17.25 / $17.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $10.94 / $12.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.11 / $16.42
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.43 / $15.11 / $20.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $13.50 / $21.38