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Ohio rates for HCPCS J7100

Infusion, dextran 40, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $134.90 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $66.07 / $81.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $144.54 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $26.30 / $72.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $79.43
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $67.61 / $79.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $22.39 / $25.70
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $457.09 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $72.44 / $316.23