go back

Arizona rates for HCPCS B5100

Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, hepatic-HepatAmine-premix

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $3.77 / $19.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.07 / $19.91 / $33.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.22 / $6.14 / $12.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.15 / $13.68 / $233.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.41 / $5.12 / $10.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $6.74 / $6.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $5.12 / $8.43