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Illinois 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 / $23.24 / $38.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $11.62 / $12.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.97 / $56.10 / $199.58
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.23 / $163.05 / $214.80
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $15.41