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Louisiana rates for HCPCS J7121

5% Dextrose In Lac Ringers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.44 / $9.58 / $64.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.58 / $9.58 / $9.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.74 / $9.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.10 / $9.10 / $9.27
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.18 / $7.98 / $8.57