go back

Idaho rates for HCPCS J7042

5% Dextrose/Normal Saline (500 Ml = 1 Unit)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $17.60 / $122.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.56 / $1.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.41 / $1.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $2.00 / $36.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.97