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Utah 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
$5.55 / $5.55 / $5.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.55 / $5.55 / $14.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.04 / $24.28 / $25.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $14.74 / $21.22