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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
$8.91 / $46.77 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.59 / $8.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $9.55 / $12.30
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $8.51 / $11.75
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $8.51 / $11.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $8.13