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Oklahoma 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 / $29.12 / $105.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $1.53 / $1.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.88 / $1.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $1.41 / $1.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $1.53 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.36 / $1.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.41 / $1.41