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Nebraska rates for HCPCS J7100

Infusion, dextran 40, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.90 / $139.33 / $176.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.90 / $63.90 / $107.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.09 / $20.12 / $20.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.10 / $19.92 / $20.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.63 / $25.78 / $67.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.58 / $121.41 / $339.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.94 / $66.56 / $66.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.75 / $95.31 / $143.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.38 / $97.42 / $195.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $66.56 / $66.56