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South Dakota rates for HCPCS J7110

Infusion, dextran 75, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.02 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $18.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $20.89 / $35.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $14.45 / $14.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $18.20