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Nebraska rates for HCPCS J7110

Infusion, dextran 75, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.62 / $27.91 / $32.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $11.62 / $19.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.33 / $16.44 / $16.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $16.28 / $16.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $15.00 / $18.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.42 / $17.42 / $22.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $14.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.70 / $20.70 / $28.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.97 / $20.70 / $28.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $14.52