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Nebraska rates for HCPCS J7100

Infusion, dextran 40, 500 ml

Facilitymedian $115 · 10th–90th $20–$1860%20%10th90th$115Professionalmedian $65 · 10th–90th $63–$1780%50%10th90th$65$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $128.82 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $109.65
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $19.95 / $19.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.50 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $25.70 / $323.59
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $120.23 / $338.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $66.07 / $66.07
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $85.11 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $316.23 / $316.23