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Oregon rates for HCPCS J7100

Infusion Dextran 40 500 Ml (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.89 / $67.89 / $159.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.29 / $66.29 / $67.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.60 / $87.60 / $87.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.89 / $67.89 / $67.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.63 / $166.19 / $199.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.75 / $87.86 / $142.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.98 / $24.77 / $44.95
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.36 / $70.98 / $127.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.48 / $48.80 / $186.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.89 / $67.89 / $67.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $66.56 / $66.56