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Michigan rates for HCPCS J7110

Infusion, dextran 75, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.62 / $11.62 / $36.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $11.62 / $11.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $15.57
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.62 / $20.34 / $36.25
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $14.24 / $17.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $14.52