go back

California rates for HCPCS J7042

5% Dextrose/Normal Saline

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $7.50 / $112.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.43 / $4.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $1.53 / $2.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.41 / $4.19
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $3.02 / $4.54
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $5.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.69 / $3.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.41 / $2.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $3.05
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $1.92 / $1.92
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.56 / $2.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $3.63