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Washington rates for HCPCS J7100

Infusion, dextran 40, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.89 / $67.89 / $159.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.29 / $67.89 / $67.89
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.89 / $67.89 / $339.50
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.61 / $67.89 / $67.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.89 / $67.89 / $87.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.89 / $67.89 / $67.89
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.89 / $38.89 / $39.82
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.07 / $42.17 / $46.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.89 / $67.89 / $67.89
Regence BlueShield
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