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West Virginia rates for HCPCS J7100

Infusion, dextran 40, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $79.43 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $66.07 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $363.08 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $316.23 / $380.19