go back

Arkansas rates for HCPCS J7121

5% Dextrose In Lactated Ringers Infusion, Up To 1000 Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.14 / $36.00 / $82.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $7.95 / $8.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.98 / $7.98 / $7.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $7.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.87 / $8.14 / $8.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $8.14 / $8.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.98 / $7.98