go back

Montana 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
$5.90 / $19.43 / $19.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.31 / $5.31 / $7.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $8.80 / $9.93