go back

Minnesota 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 / $14.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $12.05 / $14.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $22.14 / $34.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.43 / $15.54 / $15.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.76 / $47.78 / $58.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.15 / $17.60 / $19.05
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.95 / $43.60 / $54.72
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $20.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.25 / $15.07 / $19.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $20.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $26.14