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Iowa 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
$0.25 / $0.25 / $0.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $5.00 / $6.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.88 / $9.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $7.89 / $15.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $8.88 / $233.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $7.00 / $11.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.39 / $7.52 / $9.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.97 / $8.65 / $14.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.74 / $6.74 / $6.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $5.60 / $8.71
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.74 / $6.74 / $6.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.74 / $6.74 / $6.74