go back

Nebraska 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 / $18.41 / $82.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $7.66 / $12.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.99 / $8.14 / $9.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.40 / $42.89 / $248.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $7.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.78 / $8.78 / $8.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.78 / $8.78 / $8.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $7.98 / $7.98