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New Hampshire rates for HCPCS J7110

Infusion, dextran 75, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.34 / $12.34 / $15.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.34 / $12.34 / $12.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $14.52
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.71 / $24.18 / $44.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $14.52
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.23 / $25.48 / $37.45