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West Virginia 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
$7.25 / $7.25 / $7.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $10.67 / $16.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.72 / $21.84 / $25.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.22 / $20.22 / $20.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $10.19 / $83.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $12.92 / $30.97