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Washington rates for HCPCS J7042

5% Dextrose/Normal Saline

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $3.88 / $68.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.56 / $2.83
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.78 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.41 / $3.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.33 / $2.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.73
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $1.70 / $4.23
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $3.44 / $3.44
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.35 / $4.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Regence BlueShield
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