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Indiana rates for HCPCS B5100

Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, hepatic-HepatAmine-premix

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.41 / $6.41 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $6.41 / $6.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $6.03 / $6.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $4.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.07 / $6.74 / $8.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $6.56 / $7.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.88 / $75.88 / $75.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $3.83 / $6.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $5.39 / $6.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $5.32 / $9.56