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Oklahoma rates for HCPCS J7100

Infusion, dextran 40, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $64.57 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $67.61 / $67.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $67.61 / $338.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $66.07 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $66.07 / $316.23