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North Carolina rates for HCPCS J7100

Infusion, dextran 40, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $33.11 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $64.57 / $67.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $63.10 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $69.18 / $331.13
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 / $79.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $34.67 / $39.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $66.07 / $316.23
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $338.84 / $338.84