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New Jersey 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
$6.31 / $12.30 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.94 / $10.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $6.46 / $6.46
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $10.72 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $8.13 / $10.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.13
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $11,481.54 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $8.32 / $8.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $8.71