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Arizona rates for HCPCS J7110

Infusion, dextran 75, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $29.04 / $43.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.76 / $11.76 / $14.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.52 / $14.52 / $14.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $14.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.94 / $16.82 / $100.00
Medica
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 / $14.52 / $14.52