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Wisconsin 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
$12.64 / $12.64 / $12.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.99 / $12.64 / $49.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.25 / $17.25 / $28.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.04 / $16.04 / $18.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.53 / $36.92 / $36.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.96 / $53.70 / $82.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $24.84 / $32.65
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.99 / $17.25 / $18.11
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.99 / $17.25 / $158.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $19.52 / $52.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $65.00 / $90.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.48 / $14.22 / $18.11
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.25 / $25.88 / $51.19
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.70 / $33.70 / $158.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $10.19 / $10.19
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.25 / $17.25 / $17.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.25 / $17.25 / $17.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.74 / $16.75 / $52.41