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Texas rates for HCPCS J7042

5% Dextrose/Normal Saline

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.94 / $25.89 / $102.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.43 / $1.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.68 / $4.25 / $8.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.39 / $2.39
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.36 / $14.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.60 / $10.60 / $10.60
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $2.02 / $22.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.41 / $2.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $1.41 / $2.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.41 / $2.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.41 / $1.41
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.90