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Utah 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
$66.29 / $66.29 / $66.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.29 / $66.29 / $66.29
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 / $66.56