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Iowa rates for HCPCS J7110

Infusion Dextran 75 500 Ml (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.62 / $27.91 / $43.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $11.62 / $11.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $18.75 / $18.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.75 / $148.65 / $174.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $20.70 / $27.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $20.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $20.70 / $27.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.97 / $20.70 / $28.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $14.81