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South Carolina 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
$31.84 / $65.48 / $264.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.90 / $65.48 / $65.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.26 / $33.11 / $36.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.29 / $79.87 / $95.24
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.11 / $65.48 / $88.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.11 / $36.07 / $81.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $66.56 / $66.56