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Pennsylvania rates for HCPCS J7100

Infusion, dextran 40, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.30 / $86.22 / $168.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.89 / $67.89 / $67.89
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.36 / $66.30 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.30 / $66.30 / $66.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.89 / $67.89 / $67.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.89 / $67.89 / $67.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.89 / $101.84 / $168.37
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.89 / $67.89 / $135.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.89 / $67.89 / $67.89
Priority Health
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 / $86.86