go back

Minnesota rates for HCPCS J7100

Infusion, dextran 40, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.87 / $79.87 / $79.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.90 / $66.29 / $79.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $32.90 / $68.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.82 / $63.07 / $67.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.18 / $65.69 / $79.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.83 / $24.20 / $26.19
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.93 / $59.95 / $75.23
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.63 / $20.63 / $28.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.63 / $32.49 / $112.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $66.56 / $91.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $66.56 / $119.81