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Tennessee rates for HCPCS J7100

Infusion, dextran 40, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.29 / $86.18 / $131.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.90 / $66.29 / $66.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.85 / $46.85 / $46.85
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.24 / $305.73 / $339.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $66.56 / $67.90