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Alabama rates for HCPCS J7121

5% Dextrose In Lac Ringers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.14 / $8.14 / $149.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.86 / $8.14 / $13.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.09 / $7.98 / $7.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.14 / $8.14 / $8.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $8.14 / $8.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $7.98