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Arizona rates for HCPCS J7100

Infusion, dextran 40, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.46 / $159.74 / $239.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.69 / $64.69 / $77.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.25 / $182.46 / $347.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.93 / $63.90 / $423.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.89 / $67.89 / $67.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.89 / $67.89 / $67.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.48 / $77.63 / $107.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $66.56 / $66.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $66.56 / $66.56