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Indiana rates for HCPCS J7100

Infusion, dextran 40, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.90 / $93.70 / $287.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.90 / $63.90 / $63.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.46 / $133.12 / $199.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.77 / $17.77 / $26.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.79 / $69.79 / $90.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.79 / $69.79 / $99.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.89 / $67.89 / $67.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.77 / $67.89 / $109.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $66.56 / $82.53