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Oregon rates for HCPCS J7121

5% Dextrose In Lac Ringers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.14 / $32.81 / $146.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $7.95 / $8.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.28 / $16.28 / $16.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $8.14 / $8.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.95 / $11.37 / $17.09
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $11.37 / $17.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $9.66 / $9.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $6.08 / $6.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $7.98