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Minnesota 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
$9.58 / $9.58 / $81.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $7.95 / $9.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $5.98 / $16.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $7.90 / $8.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.30 / $24.61 / $29.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $9.06 / $10.14
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.28 / $22.45 / $28.18
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.99 / $7.99 / $10.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.25 / $20.58 / $75.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $11.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $14.47