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Indiana rates for HCPCS J7100

Infusion, dextran 40, 500 ml

Facilitymedian $479 · 10th–90th $65–$6920%20%10th90th$479Professionalmedian $63 · 10th–90th $21–$790%50%10th90th$63$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $67.61 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $63.10 / $67.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $478.63 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $18.20 / $44.67
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $69.18 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $891.25 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $316.23 / $630.96