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Massachusetts rates for HCPCS J7042

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $2.47 / $18.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.46 / $1.93
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $4.32 / $75.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $3.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.81 / $3.84
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.68 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $2.99
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $1.62 / $3.21
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $3.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $3.65