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Massachusetts rates for HCPCS J7121

5% Dextrose In Lac Ringers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $5.51 / $13.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $8.14 / $8.27
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.89 / $24.16 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $7.98 / $9.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.76 / $11.61 / $24.75
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $8.14 / $17.26
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $0.82 / $2.37
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $85.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $7.98 / $11.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $7.98 / $12.04