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Louisiana rates for HCPCS J7100

Infusion, dextran 40, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.87 / $79.87 / $111.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.87 / $79.87 / $79.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.07 / $18.13 / $69.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.38 / $46.38 / $47.31
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.56 / $66.56 / $79.88