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Pennsylvania rates for HCPCS J7121

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

Facilitymedian $26 · 10th–90th $8–$690%10%10th90th$26Professionalmedian $8 · 10th–90th $7–$90%50%10th90th$8$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$8.13 / $28.84 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.94 / $8.51
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $11.48
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $5.13 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $28.18 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $7.08 / $16.98
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $9.55
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $11.75 / $15.14
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.94 / $7.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $10.96