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Kentucky 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
$2.27 / $3.78 / $6.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $5.00 / $6.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.74 / $6.74 / $6.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $4.44 / $4.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.67 / $9.67 / $9.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $7.94 / $12.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.90 / $7.90 / $7.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $216.93 / $216.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $5.39 / $5.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $4.96 / $6.82