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North Carolina 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
$7.47 / $34.71 / $81.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $7.47 / $7.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $5.22 / $8.38
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 / $9.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.47 / $7.92 / $10.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $9.58
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $85.00 / $100.00