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Maine rates for HCPCS J7110

Infusion, dextran 75, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.02 / $33.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $14.45 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $17.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $36.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.02 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $20.89