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Alaska rates for HCPCS J7110

Infusion, dextran 75, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.39 / $19.39 / $68.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $19.60 / $19.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $14.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.03 / $28.03 / $28.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.03 / $28.03 / $28.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $14.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $21.78 / $43.56