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New York 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
$5.38 / $8.14 / $82.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $7.66 / $8.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.73 / $7.98 / $7.98
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.76 / $5.76 / $6.34
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.76 / $5.76 / $5.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $6.23 / $8.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $8.14 / $8.14
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.14 / $8.14 / $14.08
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $8.14 / $9.36
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.14 / $8.46 / $8.46
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $8.46 / $8.46
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.00 / $7.61 / $8.31
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.23 / $6.23 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $8.14 / $12.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.18 / $7.98 / $11.54
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.14 / $8.14 / $8.14
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $8.14 / $8.46