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Connecticut rates for HCPCS B5100

Parenteral Nutrition Solution Compounded Amino Acid And Carbohydrates With Electrolytes Trace Elements And Vitamins Including Preparation Anystrength Hepatic Hepatamine-Premix (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $4.30 / $4.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $5.00 / $6.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $6.74 / $7.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.83 / $5.59 / $6.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $5.42 / $8.93