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West Virginia 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
$2.83 / $2.83 / $2.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $4.16 / $6.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.34 / $8.57 / $10.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.90 / $7.90 / $7.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $216.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $5.32 / $9.44