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Illinois rates for HCPCS J7121

5% Dextrose In Lactated Ringers Infusion, Up To 1000 Cc

Facilitymedian $19 · 10th–90th $8$910%10%10th90th$19Professionalmedian $8 · 10th–90th $7$170%50%10th90th$8$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $19.50 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.59 / $10.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $28.84 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $16.22 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $39.81 / $199.53
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $10.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $8.13