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New Hampshire 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
$2.33 / $2.33 / $2.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $2.47 / $2.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.13 / $7.19 / $7.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.74 / $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 / $9.86 / $20.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $3.36 / $7.28
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.53 / $4.98 / $6.34