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Iowa rates for HCPCS J7100

Infusion, dextran 40, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.87 / $79.87 / $176.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.90 / $63.90 / $79.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.63 / $25.78 / $25.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.25 / $148.65 / $174.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.00 / $79.87 / $143.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.47 / $66.56 / $133.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.00 / $97.42 / $133.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.19 / $97.42 / $195.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $66.56 / $66.56
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.56 / $66.56 / $66.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $66.56 / $66.56