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Michigan rates for HCPCS J7042

5% Dextrose/Normal Saline

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.46 / $8.96 / $69.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.46 / $1.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $3.23 / $5.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.87 / $0.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $1.93 / $1.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $1.41 / $1.41
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $6.80 / $83.46
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.41 / $1.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.56 / $1.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41