go back

Kentucky rates for HCPCS J7100

Infusion, dextran 40, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.90 / $63.90 / $135.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.90 / $63.90 / $66.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.11 / $20.95 / $78.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.89 / $26.53 / $26.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.38 / $68.54 / $119.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $66.38 / $102.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.89 / $67.89 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.77 / $59.50 / $67.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.92 / $66.56 / $66.56