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Indiana rates for HCPCS J7110

Infusion, dextran 75, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $11.62 / $52.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $11.62 / $11.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $14.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.34 / $14.52 / $19.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.56 / $21.56 / $21.56
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 / $39.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $15.55