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Illinois 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
$7.66 / $16.77 / $67.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $7.66 / $10.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.00 / $28.55 / $126.78
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $39.46 / $125.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $3.06 / $3.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $8.47