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New Hampshire 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
$5.96 / $5.96 / $7.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $6.32 / $6.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.70 / $18.39 / $20.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.25 / $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 / $25.22 / $51.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $8.61 / $18.66
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.60 / $12.76 / $16.23