go back

West Virginia rates for HCPCS J7110

Infusion, dextran 75, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.34 / $12.34 / $12.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $12.34 / $12.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.60 / $44,999.55 / $69,999.30
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 / $21.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $23.23