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Oklahoma 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
$5.61 / $5.61 / $5.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.61 / $5.61 / $5.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $6.20 / $74.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $4.82 / $6.72
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 / $4.82 / $6.72