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New Mexico rates for HCPCS J7100

Infusion, dextran 40, 500 ml

Facilitymedian $151 · 10th–90th $22–$3240%50%10th90th$151Professionalmedian $66 · 10th–90th $63–$760%50%10th90th$66$20.0$50.0$100.0$200.0$500.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $66.07 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $20.42 / $645.65
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $316.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $316.23 / $316.23