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Arizona rates for HCPCS J7121

5% Dextrose In Lac Ringers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.25 / $28.74 / $86.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.95 / $9.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.50 / $27.59 / $45.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $7.66 / $50.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.14 / $8.14 / $8.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $8.14 / $8.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.53 / $11.10 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $7.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $7.98