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Illinois 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
$0.26 / $6.41 / $6.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $5.50 / $6.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $14.15 / $75.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.74 / $9.44 / $19.80
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $8.76 / $8.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $6.74 / $6.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $5.32 / $9.44