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New Hampshire rates for HCPCS J7042

5% Dextrose/Normal Saline

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $6.19 / $25.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.41 / $1.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $2.12 / $5.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.41 / $1.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $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
$1.91 / $2.35 / $4.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $3.08 / $4.73