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Indiana 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 / $19.14 / $96.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $7.66 / $7.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $15.96 / $23.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.00 / $4.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.33 / $28,874.72 / $39,374.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34,124.66 / $34,124.66 / $34,124.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.14 / $8.14 / $8.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.98 / $8.14 / $22.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $8.55