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Virginia 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
$8.14 / $47.07 / $461.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $8.14 / $8.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $7.66 / $7.66
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.58 / $9.58 / $12.40
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.58 / $7.98 / $10.21
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $7.98 / $10.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $8.01