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Wisconsin rates for HCPCS J7110

Infusion, dextran 75, 500 ml

Facilitymedian $12 · 10th–90th $11–$360%50%10th90th$12Professionalmedian $12 · 10th–90th $11–$190%20%40%10th90th$12$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $11.75 / $11.75
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $11.75 / $14.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $36.31 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $16.98 / $19.05
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $14.45 / $14.45
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $21.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $14.45 / $14.45
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $18.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $64.57 / $85.11
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $194.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $19.95