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South Carolina rates for HCPCS J7110

Infusion, dextran 75, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $43.65 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.02 / $16.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $36.31 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $15.14 / $19.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $18.62 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $15.49