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North Dakota rates for HCPCS J7100

Infusion, dextran 40, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.90 / $63.90 / $122.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.90 / $79.87 / $79.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.89 / $70.23 / $71.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $70.13 / $71.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.63 / $20.83 / $26.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.71 / $63.90 / $113.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.94 / $66.56 / $72.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $66.56 / $72.29