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Georgia 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
$66.29 / $66.29 / $66.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.90 / $66.29 / $66.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.56 / $72.22 / $72.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.48 / $75.88 / $75.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.89 / $69.89 / $136.97
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.06 / $28.96 / $39.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $66.56 / $73.44