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South Carolina rates for HCPCS J7100

Infusion, dextran 40, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $239.88 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $64.57 / $79.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $33.11 / $36.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $398.11 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $72.44 / $89.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $32.36 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $66.07 / $316.23