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Maine 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
$33.69 / $33.69 / $36.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.34 / $12.34 / $12.34
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
$14.52 / $14.52 / $14.52
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $17.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.69 / $33.69 / $36.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.34 / $12.34 / $36.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $21.05