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Maryland 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
$4.16 / $6.41 / $8.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $7.41 / $10.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.74 / $6.74 / $6.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $4.72 / $12.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.34 / $3.39