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Kansas 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 / $6.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $6.41 / $6.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.23 / $318.83 / $338.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.64 / $300.64 / $300.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $6.41 / $233.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $5.28 / $7.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $6.74 / $6.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $5.28 / $11.06