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Utah rates for HCPCS J7120

Ringers lactate infusion, up to 1,000 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $43.65 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.82 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $3.31 / $3.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.69 / $2.95
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.40 / $2.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40