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Oregon 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
$8.13 / $48.98 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $54.95 / $154.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $8.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $11.48 / $23.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94