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Montana rates for HCPCS B5000

Parenteral nutrition solution: compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, renal - Amirosyn RF, NephrAmine, RenAmine - premix

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.11 / $49.79 / $49.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.11 / $18.11 / $18.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $18.11 / $18.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.11 / $18.11 / $18.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.60 / $13.60 / $18.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.69 / $23.06 / $25.45