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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
$11.62 / $11.62 / $11.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $11.62 / $11.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $21.23
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.62 / $14.80 / $251.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $14.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.14 / $14.52 / $14.96