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Minnesota rates for HCPCS J7110

Infusion, dextran 75, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.02 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $23.44 / $24.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $15.49 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $50.12 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $17.78 / $19.05
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $47.86 / $56.23
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $20.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $15.14 / $19.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $26.92