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New Mexico rates for HCPCS J7042

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $29.64 / $55.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.57 / $2.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.25 / $2.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.50 / $8.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41