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Utah rates for HCPCS J7100

Infusion, dextran 40, 500 ml

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