go back

Hawaii rates for HCPCS J7120

Ringers lactate infusion, up to 1,000 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $100.00 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.47 / $3.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.88 / $3.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.88 / $3.55