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New Jersey 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
$2.22 / $2.47 / $2.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.48 / $5.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $225.00 / $225.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $5.50 / $5.50
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.48 / $4.48 / $4.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.74 / $6.74 / $6.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $4.71 / $7.45