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Florida 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
$3.04 / $5.37 / $5.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $5.37 / $5.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.17 / $75.00 / $78.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $5.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.74 / $6.74 / $6.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $5.04 / $8.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.74 / $6.74 / $6.74