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Connecticut rates for HCPCS J7100

Infusion Dextran 40 500 Ml (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.89 / $98.85 / $223.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.89 / $67.89 / $67.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.43 / $102.32 / $199.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $66.56 / $67.88
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.45 / $21.25 / $67.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.90 / $66.56 / $73.48