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Rhode Island 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
$31.14 / $36.00 / $51.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $7.66 / $8.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.14 / $8.46 / $8.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $8.61 / $8.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.14 / $8.14 / $8.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $8.14 / $8.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $7.98