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South Carolina 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
$11.91 / $11.91 / $48.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $12.34 / $12.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.06 / $36.27 / $39.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.56 / $70.56 / $70.56
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $13.10 / $19.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.07 / $15.07 / $18.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $14.52