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5% Dextrose/Normal Saline Infusion

Wisconsin rates for HCPCS J7042

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

Rates data updated July 2026.

Facilitymedian $22 · 10th–90th $2$630%5%10%10th90th$22Professionalmedian $1 · 10th–90th $1$30%50%10th90th$1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$23.99
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.78
Typical High
$3.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$1.62
Typical High
$1.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$3.24
Typical High
$5.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.82
Typical High
$2.45
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$1.41
Typical High
$2.88
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$0.26
Median
$2.82
Typical High
$2.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.35
Median
$15.14
Typical High
$63.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$1.35
Typical High
$2.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$1.70
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$1.41
Typical High
$2.88
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$0.26
Median
$2.82
Typical High
$2.82
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.95
Typical High
$3.98
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$3.89
Typical High
$100.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.32
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.66
Typical High
$2.04
United
Setting
Facility
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$3.09
United
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.32
Typical High
$1.82