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Missouri rates for HCPCS J7042

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $17.64 / $70.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.46 / $3.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $2.40 / $3.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.76
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $2.76 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.36 / $1.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.63