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South Dakota 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
$14.52 / $14.52 / $14.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $14.52 / $14.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $18.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.62 / $20.70 / $35.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $14.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.70 / $20.70 / $20.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.97 / $20.70 / $28.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $14.52