go back

Illinois rates for HCPCS J7042

5% Dextrose/Normal Saline

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $12.30 / $94.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.41 / $1.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $6.84 / $24.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $2.12 / $16.62
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.89