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Maryland 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
$12.34 / $12.34 / $411.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.34 / $12.34 / $14.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $14.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $18.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.00 / $115.00 / $115.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $14.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.72 / $12.72 / $12.72