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Louisiana rates for HCPCS J7042

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $2.72 / $34.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.41 / $1.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $2.06 / $5.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $1.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.60 / $10.60 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.90