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Rhode Island rates for HCPCS J7100

Infusion, dextran 40, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.58 / $259.58 / $259.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.90 / $63.90 / $67.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.89 / $70.55 / $74.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.88 / $71.88 / $71.88
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $66.56 / $90.72