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Indiana rates for HCPCS J7042

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $8.23 / $90.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.43 / $1.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $2.82 / $4.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.41 / $2.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $2.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.41 / $3.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.88