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Wyoming rates for HCPCS J7121

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

Facilitymedian $13 · 10th–90th $3$440%20%40%10th90th$13Professionalmedian $10 · 10th–90th $8$100%50%10th$10$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $29.51 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.51 / $8.51
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $9.55 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $12.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94