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Oregon rates for HCPCS J7110

Infusion, dextran 75, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $14.45 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.02 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $15.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $19.95 / $25.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.49 / $19.95
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $17.38 / $28.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45