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Oklahoma rates for HCPCS J7121

5% Dextrose In Lactated Ringers Infusion, Up To 1000 Cc

Facilitymedian $26 · 10th–90th $8–$390%10%10th90th$26Professionalmedian $7 · 10th–90th $7–$80%50%90th$7$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $26.30 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $8.51 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $7.94 / $7.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $10.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $7.94 / $7.94