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Louisiana 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
$14.52 / $14.52 / $20.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $14.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.97 / $15.97 / $23.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.97 / $15.97 / $16.29
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.08 / $14.52 / $15.59