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Missouri 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
$0.25 / $0.26 / $5.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $5.58 / $6.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.74 / $7.08 / $31.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $3.06 / $6.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $7.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $13.68 / $233.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $4.05 / $7.86
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 / $4.05 / $10.27