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Maine rates for HCPCS J7042

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.46 / $27.59 / $175.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.47 / $1.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $4.36 / $4.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.71
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $14.08 / $163.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.47 / $2.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $2.12