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Kentucky 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 / $16.29 / $61.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $7.66 / $7.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.15 / $9.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $4.97 / $4.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,999.58 / $52,149.48 / $62,999.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $8.14 / $8.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.14 / $8.14 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $12.17 / $12.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $7.98