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Mississippi rates for HCPCS J7121

5% Dextrose In Lac Ringers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.95 / $73.14 / $172.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.86 / $8.14 / $11.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.03
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $20.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $8.14