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Idaho 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
$8.71 / $28.84 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.94 / $8.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $18.20 / $61.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.13 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $20.42 / $66.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.94 / $54.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $7.59
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $20.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94