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Idaho 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
Professional
Modifier
Low / Median / High Price
$4.90 / $5.90 / $5.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.61 / $6.25 / $103.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.40 / $6.40 / $6.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.33 / $9.99 / $14.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.72 / $4.72 / $6.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $5.90 / $8.52