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Delaware 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
$8.55 / $11.40 / $11.81
Aetna
Facility/Professional
Professional
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.04 / $11.04 / $17.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $5.93 / $11.97