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Maine 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
Professional
Modifier
Low / Median / High Price
$2.57 / $3.02 / $3.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.52 / $7.77 / $8.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.58 / $6.74 / $6.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.07 / $6.07 / $7.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $3.02 / $3.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $7.20 / $9.33