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Rhode Island rates for HCPCS J7110

Infusion Dextran 75 500 Ml (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.19 / $47.19 / $47.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $11.62 / $12.34
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $14.96