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Washington rates for HCPCS J7110

Infusion, dextran 75, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.34 / $12.34 / $29.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $12.34 / $12.34
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $23.95 / $24.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.52 / $14.52 / $58.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $17.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.52 / $14.52 / $79,999.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $14.52