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New York 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
$2.47 / $3.46 / $5.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $4.30 / $4.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.74 / $6.74 / $13.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $9.35
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.97 / $3.97 / $5.61
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.97 / $3.97 / $3.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.74 / $14.15 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.74 / $12.13 / $18.73
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.86 / $3.86 / $3.90
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $3.90 / $4.15
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $5.50 / $11.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.74 / $6.74 / $6.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $5.88 / $8.49
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.90 / $3.90 / $89.60
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $4.15 / $89.60