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Arizona rates for HCPCS J7121

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

Facilitymedian $30 · 10th–90th $10–$830%5%10%10th90th$30Professionalmedian $8 · 10th–90th $7–$90%20%40%10th90th$8$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $30.20 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $7.76 / $9.33
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $29.51 / $53.70
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $15.14 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $13.49 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $11.22 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94