go back

Nebraska rates for HCPCS J7042

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $3.11 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.83 / $2.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.52 / $1.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.53 / $1.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.03 / $1.03 / $1.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.41 / $1.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $44.65 / $102.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.36 / $1.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.27 / $1.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $1.34 / $2.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41