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Wisconsin rates for HCPCS J7042

5% Dextrose/Normal Saline

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.46 / $78.31 / $157.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.46 / $5.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $1.76 / $1.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $1.93 / $2.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $2.77 / $3.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $2.48 / $2.81
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.36 / $2.86
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $2.82 / $2.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $13.39 / $63.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.36 / $2.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.36 / $2.86
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $2.82 / $2.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.87 / $4.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.98 / $1.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.97