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Kansas 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 / $11.62 / $14.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $11.62 / $14.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.27 / $29.73 / $34.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $24.98 / $24.98
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
$11.62 / $14.52 / $17.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $14.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $15.11