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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
$67.89 / $67.89 / $159.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.89 / $67.89 / $67.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.23 / $62.73 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.23 / $66.56 / $100.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.42 / $96.82 / $206.39
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.77 / $17.77 / $37.67
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.24 / $107.24 / $339.50
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $66.56 / $99.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $66.56 / $93.19