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Pennsylvania rates for HCPCS J7042

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $5.09 / $75.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.43 / $5.51
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $352.56 / $754.86
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.53 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $1.47
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.37 / $10.80 / $43.66
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $1.60 / $724.75
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $6.26 / $87.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.46 / $4.13
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.41 / $1.41
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.06 / $1.23
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $1.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $2.58