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Idaho 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 / $67.89 / $67.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.90 / $67.89 / $68.69
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.67 / $68.69 / $98.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.42 / $17.42 / $79.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.89 / $67.89 / $84.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $66.56 / $66.56