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New Jersey rates for HCPCS J7100

Infusion, dextran 40, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.89 / $95.72 / $165.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.11 / $66.29 / $67.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.31 / $35.20 / $67.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.89 / $67.89 / $67.89
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,628.00 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.82 / $67.90 / $67.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $66.56 / $79.88