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Missouri 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
$7.96 / $17.28 / $76.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $7.66 / $10.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.69 / $13.57 / $21.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.19 / $7.19 / $9.58
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.66 / $21.52 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $7.98 / $8.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $7.98 / $8.06