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North Dakota rates for HCPCS J7110

Infusion, dextran 75, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.62 / $11.62 / $26.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $14.52 / $14.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $18.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.62 / $14.52 / $19.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $15.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $15.77