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South Dakota rates for HCPCS J7121

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

Facilitymedian $24 · 10th–90th $8–$1230%20%10th90th$24Professionalmedian $8 · 10th–90th $8–$100%50%90th$8$2.0$5.0$10.0$20.0$50.0$100.0

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
$8.91 / $57.54 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.94 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $10.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $12.30 / $154.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $7.94 / $7.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $9.12
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94