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South Carolina rates for HCPCS B5100

Parenteral Nutrition Solution Compounded Amino Acid And Carbohydrates With Electrolytes Trace Elements And Vitamins Including Preparation Anystrength Hepatic Hepatamine-Premix (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.41 / $6.41 / $6.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.11 / $5.90 / $6.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $6.74 / $8.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $6.41 / $16.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $2.68 / $2.68
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 / $5.07 / $6.84