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HCPCS J7121 (Dextrose In Lactated Ringers) Fee Schedule

Last Verified: September 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

5% dextrose in lactated ringers infusion, up to 1000 cc
Key FactDetail
Service Type

Drugs Administered Other than Oral Method

Drugs, Administered by Injection

Common Place of Service

None

11 - Office

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for J7121
WAC Price
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Related NDC Codes

00264-7751-00 - DEXTROSE 5%/LACTATED RINGERS (EXCEL)

00264-7751-10 - DEXTROSE 5%/LACTATED RINGERS (EXCEL)

00338-0125-03 - LACTATED RINGER'S AND 5% DEXTROSE (VIAFLEX)

00338-0125-04 - LACTATED RINGER'S AND 5% DEXTROSE (VIAFLEX, 14X1000ML)

00338-0811-04 - POTASSIUM CHLORIDE SOLUTION (5%,DEXTROSE & LAC-RING) (14X1000ML)


National average reimbursement for HCPCS J7121 by major payers:

bcbs

$6.52

uhc

$8.04

aetna

$10.81

cigna

$8.34

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS J7121.

HCPCS J7121
5 of 25 sample ratesHigher to lower in this preview
  1. Cedars-Sinai Medical Center

    CAGeneral Acute Care HospitalNPI 1639172372Tax ID 95-1644600

    $16.57Published rate
  2. The Hospital Of Central Connecticut At New Britain General And Bradley, The Hospital Of Central Connecticut

    Hospital Of Central Connecticut At New Britain General And Bradley Me

    CTGeneral Acute Care HospitalNPI 1053477075Tax ID 60-646768

    $8.77Published rate
  3. Ngmc Barrow LLC, Ngmc Barrow

    Gainesville Radiology Group

    GAGeneral Acute Care HospitalNPI 1881144889Tax ID 58-1177261

    $7.98Published rate
  4. Adam Iwanski

    ILGeneral Acute Care HospitalNPI 1548678527Tax ID 32-0261234

    $7.98Published rate
  5. University Hospital At Stony Brook, Stony Brook University Hospital

    NYGeneral Acute Care HospitalNPI 1972523348Tax ID 11-3243405

    $4.11Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS J7121 vs. Other Drugs, Administered by Injection Codes

The HCPCS J7121 code is part of the Drugs Administered Other than Oral Method services used for Drugs, Administered by Injection. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The HCPCS J7121 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
00264-7751-00-NDCModerateDEXTROSE 5%/LACTATED RINGERS (EXCEL)
00264-7751-10-NDCModerateDEXTROSE 5%/LACTATED RINGERS (EXCEL)
00338-0125-03-NDCModerateLACTATED RINGER'S AND 5% DEXTROSE (VIAFLEX)
J7121-HCPCSLow5% dextrose in lactated ringers infusion, up to 1000 cc

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7121. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the J7121 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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