go back

Illinois rates for HCPCS J7100

Infusion, dextran 40, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.90 / $119.81 / $214.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.90 / $63.90 / $79.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.20 / $79.67 / $356.09
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $163.05 / $214.80
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $66.56 / $71.89