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Washington rates for HCPCS J7100

Infusion, dextran 40, 500 ml

Facilitymedian $87 · 10th–90th $68–$3240%20%40%10th90th$87Professionalmedian $68 · 10th–90th $63–$3160%50%10th90th$68$20.0$50.0$100.0$200.0$500.0

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
$67.61 / $67.61 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $67.61 / $79.43
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $602.56 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $75.86
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $67.61
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $120.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $316.23 / $316.23