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Tennessee 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
$7.95 / $73.14 / $172.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $7.95 / $7.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.58 / $9.58 / $9.58
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $85.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $7.98 / $7.98