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New York rates for HCPCS J7042

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $4.84 / $9.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.41 / $1.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.41 / $1.43
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.06 / $1.11
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $1.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.33 / $1.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $2.00 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $1.53 / $2.42
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.50
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.50
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $3.48 / $4.46
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.33 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.41 / $11.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $2.21
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $1.50 / $1.50
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $1.41 / $1.50