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Missouri rates for HCPCS J7110

Infusion, dextran 75, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $14.13
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
$14.45 / $14.45 / $21.38
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 / $15.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $14.79 / $251.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $14.45 / $15.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $15.49