go back

Utah 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
$2.17 / $2.17 / $2.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.17 / $5.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $9.52 / $10.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $5.77 / $8.27