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Michigan 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 / $20.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $6.41 / $6.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $18.95 / $36.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.40 / $6.74 / $6.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $5.07 / $5.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.25 / $6.41
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.90 / $7.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $6.74 / $6.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $5.21 / $8.36