go back

South Carolina rates for HCPCS J7121

5% Dextrose In Lac Ringers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.82 / $130.90 / $238.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.47 / $7.86 / $8.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.89 / $8.14
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.86 / $9.43 / $10.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $6.11 / $9.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $7.98