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Virginia rates for HCPCS J7121

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

Facilitymedian $46 · 10th–90th $9–$4270%5%10%10th90th$46Professionalmedian $8 · 10th–90th $7–$100%20%40%10th90th$8$5.0$20.0$100.0$500.0

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 / $46.77 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.94 / $8.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $16.22 / $20.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $12.30
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $8.51 / $11.75
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $8.51 / $11.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $10.00 / $12.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $8.13