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Iowa rates for HCPCS J7121

5% Dextrose In Lac Ringers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.58 / $9.58 / $28.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $7.66 / $9.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.99 / $7.99 / $9.98
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.72 / $40.72 / $199.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $9.58 / $25.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $8.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.00 / $8.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.78 / $8.78 / $8.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $8.14
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.98 / $7.98 / $7.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $7.98