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Connecticut 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 / $11.41 / $26.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $8.14 / $8.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.75 / $12.58 / $23.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $8.14
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $8.14 / $8.14
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.66 / $6.66 / $7.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.57 / $7.98 / $8.77