go back

Washington rates for HCPCS J7120

Ringers lactate infusion, up to 1,000 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $44.67 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.40 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.24 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.75 / $4.57
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $3.72 / $8.91
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.72 / $3.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $3.09