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Pennsylvania 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
$9.97 / $9.97 / $12.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $11.03 / $49.79
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.97 / $9.97 / $12.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $11.03 / $49.79
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $10.19 / $10.19
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.33 / $16.42 / $16.42
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.33 / $16.42 / $16.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $13.63 / $22.73