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Massachusetts rates for HCPCS J7100

Infusion, dextran 40, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $104.71 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $66.07 / $77.62
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $60.26 / $338.84
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $316.23 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $38.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $60.26 / $338.84
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $316.23 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $85.11 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $100.00 / $323.59