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Utah rates for HCPCS J7100

Infusion, dextran 40, 500 ml

Facilitymedian $66 · 10th–90th $66–$660%50%100%$66Professionalmedian $66 · 10th–90th $63–$3160%20%40%10th90th$66$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $66.07 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $346.74 / $346.74
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $42.66 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $316.23 / $316.23