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California 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
$7.50 / $21.08 / $258.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $7.95 / $10.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.33 / $8.86 / $11.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $8.14 / $15.90
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.14 / $8.14 / $12.66
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $7.95 / $19.88
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $24.00 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $85.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.14 / $8.14 / $11.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $8.14 / $8.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $15.57