go back

Montana rates for HCPCS J7042

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $12.16 / $32.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.57 / $2.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.43 / $3.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.43 / $3.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.53 / $2.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41