Price of DEXTRAN 40 in Dextrose IV at NYU Langone
Last Updated: 2024-07-01
Locations
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NYU Langone|Tisch Hospital
550 1st Ave., New York, NY 10016About DEXTRAN 40 in Dextrose IV
Service Codes: LOCAL 5010003, HCPCS J7100
This intravenous treatment involves administering DEXTRAN 40, a volume expander, mixed with 5 percent dextrose to help maintain blood volume and improve circulation in patients who may be experiencing low blood volume or shock.
Pricing Overview
Cash Price
$58.65
Median Price
$58.07
Price Range
$32.26 - $277.83
Insurance Plan Prices
| Insurance Provider | Plan Type | Price |
|---|---|---|
| EmblemHealth | CMO Essential Plan 1 | $39.48 |
| Aetna | Indemnity | $3.09 |
| Cigna | Cigna Managed Care/POS | $92.61 |
| EmblemHealth | Healthcare Partners Essential Plan 3-4 | $32.90 |
| Aetna | Student Health | $185.22 |
| EmblemHealth | Enhanced Care (Medicaid) | $32.90 |
| EmblemHealth | Select Care Basic Exchange | $49.04 |
| Fidelis Care | Silver (Exchange) | $58.07 |
| EmblemHealth | GHI PPO | $93.07 |
| EmblemHealth | Essential Plan 3 | $32.90 |
| BCBS (Out of State) | POS (Suitcase Logo) | $32.26 |
| Cigna | MVP-Cigna Network | $92.61 |
| Anthem BCBS HealthPlus | All Exchange Plans | $39.48 |
| MultiPlan | Mutual of Omaha | $240.79 |
| Fidelis Care | Essential Plan 1 | $44.52 |
| UnitedHealthcare | Choice (North Shore - LIJ) | $154.35 |
| EmblemHealth | GHI HMO | $93.07 |
| EmblemHealth | HIP PPO | $57.69 |
| EmblemHealth | GHI composite | $93.07 |
| Blue Cross Blue Shield | Child Health Plus (CHP) | $32.90 |
| MetroPlus | Essential Plan 2 | $32.90 |
| MultiPlan | PHCS Director Guild | $240.79 |
| EmblemHealth | HIP compre health epo | $57.69 |
| Cigna | Tufts Health Plan | $92.61 |
| MultiPlan | AXA Global Insurance | $240.79 |
| Anthem BCBS HealthPlus | Special Needs Plan (SNP) | $32.90 |
| BCBS (Out of State) | Indemnity | $32.26 |
| Healthfirst | Essential Plan 2 | $247.13 |
| EmblemHealth | IUOE Local 14-14B | $93.07 |
| MultiPlan | Fiserv Health | $240.79 |
| EmblemHealth | HIP Access II | $57.69 |
| UnitedHealthcare | EPO | $154.35 |
| Aetna | Starmark ASA PPO | $185.22 |
| Blue Cross Blue Shield | Indemnity | $32.26 |
| Cigna | Evernorth Behavioral Health | $92.61 |
| EmblemHealth | Bridge | $57.69 |
| Aetna | Open Access HMO | $185.22 |
| EmblemHealth | HIP POS | $57.69 |
| Anthem BCBS HealthPlus | Essential Plan 3 | $32.90 |
| BCBS (Out of State) | PPO (Suitcase Logo) | $32.26 |
| EmblemHealth | HIP SmartStart | $57.69 |
| Health Net | PPO | $240.79 |
| MultiPlan | PHCS Savility | $240.79 |
| Fidelis Care | Essential Plan 2 | $44.52 |
| EmblemHealth | Healthcare Partners Essential Plan 1-2 | $39.48 |
| EmblemHealth | Vytra HMO | $57.69 |
| Aetna | Wellnet ASA PPO | $185.22 |
| Fidelis Care | Gold for Children (Exchange) | $58.07 |
| MetroPlus | Essential Plan 1 | $32.90 |
| Fidelis Care | Child Health Plus (CHP) | $33.68 |
| Blue Cross Blue Shield | UniCare | $32.26 |
| EmblemHealth | CMO Essential Plan 3 | $32.90 |
| BCBS (Out of State) | POS | $32.26 |
| MultiPlan | PHP Healthcare (Champus) | $240.79 |
| Cigna | HMO | $92.61 |
| 1199SEIU Funds | Home Care Benefit Fund | $167.60 |
| EmblemHealth | HIP Long Island College Hospital (LICH) | $57.69 |
| Anthem BCBS | Optum | $32.26 |
| MultiPlan | Administrative Concepts | $240.79 |
| Aetna | POS | $185.22 |
| UnitedHealthcare | Choice | $154.35 |
| EmblemHealth | Healthcare Partners Essential Plan 1, 200-250 | $39.48 |
| BCBS (Out of State) | HMO (No Suitcase Logo) | $32.26 |
| Healthfirst | Essential Plan 1-2, 200-250 | $247.13 |
| Blue Cross Blue Shield | POS | $32.26 |
| Maksin Group | Consolidated Health Plan (Home-based only) | $92.61 |
| EmblemHealth | Select Care Bronze Small Group | $49.04 |
| Fidelis Care | Essential Plan 3 | $33.68 |
| Blue Cross Blue Shield | Global Transplants | $32.26 |
| Anthem BCBS HealthPlus | Essential Plan 4 | $32.90 |
| EmblemHealth | HIP Healthcare Partners HMO | $57.69 |
| Healthfirst | Silver Leaf (Exchange) | $247.13 |
| Aetna | Chesterfield Resources ASA PPO | $185.22 |
| Aetna | PPO | $185.22 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) | $32.26 |
| UnitedHealthcare - Oxford | Optum Health | $154.35 |
| EmblemHealth | CMO Essential Plan 4 | $32.90 |
| Fidelis Care | Bronze (Exchange) | $58.07 |
| Cigna | PPO | $92.61 |
| Better Health Plan | All Plans | $259.31 |
| EmblemHealth | American Plan Administrators c/o H.D.A | $93.07 |
| Blue Cross Blue Shield | Blue Priority HMO | $32.26 |
| MultiPlan | PPO | $240.79 |
| Blue Cross Blue Shield | Open Access PPO (Home-based Only) | $32.26 |
| UnitedHealthcare - Oxford | Liberty | $154.35 |
| MultiPlan | Capital District Physicians Health Plan | $240.79 |
| EmblemHealth | Select Care Silver Small Group | $49.04 |
| EmblemHealth | American Plan Administrators | $93.07 |
| EmblemHealth | CMO Essential Plan 2 | $39.48 |
| Healthfirst | Platinum Leaf (Exchange) | $247.13 |
| Aetna | Healthscope ASA PPO | $185.22 |
| 1199SEIU Funds | Member Choice Home Care Select | $167.60 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) (NY LI Local 1199SEIU) | $32.26 |
| EmblemHealth | Enhanced Care (Medicaid) Montefiore | $32.90 |
| MultiPlan | Kaiser Permanente | $240.79 |
| EmblemHealth | Enhanced Care (Medicaid) Healthcare Partners | $32.90 |
| Fidelis Care | Native American (Exchange) | $58.07 |
| EmblemHealth | Select Care HMO | $49.04 |
| Healthfirst | Gold Leaf (Exchange) | $247.13 |
| EmblemHealth | Essential Plan 4 | $32.90 |
| UnitedHealthcare - Oxford | Freedom | $154.35 |
| Fidelis Care | Bronze for Children (Exchange) | $58.07 |
| EmblemHealth | Essential Plan 2 | $39.48 |
| EmblemHealth | Select Care PPOu00a0 | $49.04 |
| UnitedHealthcare | POS | $154.35 |
| Fidelis Care | Platinum (Exchange) | $58.07 |
| BCBS (Out of State) | HMO | $32.26 |
| Fidelis Care | Silver 250 (Exchange) | $58.07 |
| BCBS (Out of State) | EPO (Suitcase Logo) | $32.26 |
| EmblemHealth | HIP Optum Health | $57.69 |
| BCBS (Out of State) | HMO (Suitcase Logo) | $32.26 |
| EmblemHealth | HIP | $57.69 |
| Aetna | HMO | $185.22 |
| Aetna | Open Access Elect Choice EPO | $185.22 |
| Blue Cross Blue Shield | PPO/EPO (Small Group) | $32.26 |
| Cigna | NALC PPO | $92.61 |
| Blue Cross Blue Shield | Pathway Enhanced | $39.48 |
| EmblemHealth | Healthcare Partners Essential Plan 3 | $32.90 |
| Blue Cross Blue Shield | HMO | $32.26 |
| Cigna | Open Access | $92.61 |
| Fidelis Care | Gold (Exchange) | $58.07 |
| Blue Cross Blue Shield | Local 32 BJ | $32.26 |
| EmblemHealth | Healthcare Partners Essential Plan 2 | $39.48 |
| EmblemHealth | Select Care EPO | $49.04 |
| EmblemHealth | Select Care Bronze Exchange | $49.04 |
| Aetna | Meritain Health | $185.22 |
| Blue Cross Blue Shield | Blue Connection | $32.26 |
| UnitedHealthcare - Oxford | Metro | $154.35 |
| MetroPlus | Gold | $70.41 |
| EmblemHealth | Prime Gold | $49.04 |
| Anthem BCBS HealthPlus | Child Health Plus (CHP) | $32.90 |
| GEHA | All Plans | $185.22 |
| Blue Cross Blue Shield | Blue Priority EPO (Small Group) | $32.26 |
| Cigna | Great West HMO | $92.61 |
| BCBS (Out of State) | PPO | $32.26 |
| UnitedHealthcare | Optum Health | $154.35 |
| Cigna | Wellfleet Student | $92.61 |
| MultiPlan | Screen Actors Guild | $240.79 |
| MultiPlan | Meritain Health | $240.79 |
| EmblemHealth | Select Care Gold Small Group | $49.04 |
| Blue Cross Blue Shield | Healthy New York | $32.26 |
| MultiPlan | Principal Financial Group | $240.79 |
| Blue Cross Blue Shield | Blue Access PPO (Large Group) | $32.26 |
| EmblemHealth | Select Care Platinum Exchange | $49.04 |
| Blue Cross Blue Shield | Open Access HMO (Home-based Only) | $32.26 |
| MetroPlus | GoldCare 2 | $70.41 |
| UnitedHealthcare | POMCO (UMR) | $240.79 |
| EmblemHealth | HIP compre health | $57.69 |
| Blue Cross Blue Shield | PPO | $32.26 |
| UnitedHealthcare | Choice (NY Power Authority) | $154.35 |
| EmblemHealth | HIP Prime Basic | $49.04 |
| Cigna | Great West PPO | $92.61 |
| Cigna | Open Access HMO | $92.61 |
| MultiPlan | Paramount Insurance | $240.79 |
| BCBS (Out of State) | PPO (No Suitcase Logo) | $32.26 |
| EmblemHealth | Prime Platinum | $49.04 |
| EmblemHealth | HIP Access I | $57.69 |
| EmblemHealth | GHI EPO | $93.07 |
| MultiPlan | Guardian Life Insurance Co | $240.79 |
| EmblemHealth | GHI Behavioral Management Program | $93.07 |
| Aetna | Nippon Life ASA PPO | $185.22 |
| Anthem BCBS HealthPlus | Medicaid | $32.90 |
| Blue Cross Blue Shield | Blue Priority PPO | $32.26 |
| Blue Cross Blue Shield | Blue Access HMO (Small Group) | $32.26 |
| EmblemHealth | HIP Child Health Plus | $32.90 |
| EmblemHealth | Healthcare Partners Essential Plan 4 | $32.90 |
| Healthfirst | Essential Plan 1 | $247.13 |
| EmblemHealth | Prime Bronze | $49.04 |
| UnitedHealthcare | Golden Rule Insurance | $154.35 |
| Blue Cross Blue Shield | Pathway | $39.48 |
| MultiPlan | Diversified Admin Corp | $240.79 |
| EmblemHealth | Select Care Healthcare Partners | $49.04 |
| BCBS (Out of State) | EPO (No Suitcase Logo) | $32.26 |
| MultiPlan | Global Excel Management | $240.79 |
| Blue Cross Blue Shield | Blue Access gEPO (Small Group) | $32.26 |
| BCBS (Out of State) | EPO | $32.26 |
| MultiPlan | US Life Insurance Co | $240.79 |
| EmblemHealth | Healthcare Partners Essential Plans | $39.48 |
| UnitedHealthcare | POMCO (UMR) | $154.35 |
| EmblemHealth | Select Care Gold Exchange | $49.04 |
| MetroPlus | Essential Plan 1-2, 200-250 | $32.90 |
| Healthfirst | Bronze Leaf (Exchange) | $247.13 |
| EmblemHealth | BCBS GHI Composite | $32.26 |
| UnitedHealthcare | Independent | $154.35 |
| EmblemHealth | HIP Montefiore | $57.69 |
| EmblemHealth | WLNY-TV | $93.07 |
| Three Rivers | All Plans (Home-based Only) | $277.83 |
| Blue Cross Blue Shield | EPO | $32.26 |
| Blue Cross Blue Shield | Blue Access gEPO (Large Group) | $32.26 |
| UnitedHealthcare | PPO | $154.35 |
| 1199SEIU Funds | PPO | $167.60 |
| Anthem BCBS HealthPlus | Essential Plan 1, 200-250 | $65.80 |
| Cigna | Open Access PPO | $92.61 |
| Aetna | Global National Transplant | $185.22 |
| Blue Cross Blue Shield | Blue Access EPO (Small Group) | $32.26 |
| MultiPlan | Healthnet of California | $240.79 |
| Fidelis Care | Silver for Children (Exchange) | $58.07 |
| Healthfirst | Green Leaf (Exchange) | $247.13 |
| EmblemHealth | HIP EPO | $57.69 |
| Aetna | Christian Brothers ASA PPO | $185.22 |
| MultiPlan | PHCS | $240.79 |
| Horizon BCBS | Direct | $32.26 |
| Anthem BCBS HealthPlus | Family Health Plus (Deprecated) | $32.90 |
| Aetna | Allied ASA PPO | $185.22 |
| EmblemHealth | Select Care Platinum Small Group | $49.04 |
| EmblemHealth | HIP HMO | $57.69 |
| MultiPlan | Teamsters Allied Benefits | $240.79 |
| EmblemHealth | Select Care Catastrophic Exchangeu00a0 | $49.04 |
| MultiPlan | Humana Health Plan | $240.79 |
| UnitedHealthcare | Student Resources | $154.35 |
| Fidelis Care | Catastrophic (Exchange) | $58.07 |
| MultiPlan | QualCare Inc | $240.79 |
| Fidelis Care | Medicaid Managed Care | $33.68 |
| EmblemHealth | Prime Silver | $49.04 |
| Cigna | Premier Plus | $92.61 |
| UnitedHealthcare | Core | $154.35 |
| Blue Cross Blue Shield | Federal Program | $32.26 |
| Fidelis Care | Platinum for Children (Exchange) | $58.07 |
| EmblemHealth | GHI Comprehensive Benefits Plan (CBP) | $93.07 |
| Anthem BCBS HealthPlus | Essential Plan 2 | $65.80 |
| MultiPlan | Nippon Life | $240.79 |
| Cigna | Indemnity | $92.61 |
| UnitedHealthcare | Navigate | $154.35 |
| EmblemHealth | Select Care Silver Exchange | $49.04 |
| EmblemHealth | Essential Plan 1, 200-250 | $39.48 |
| Blue Cross Blue Shield | Pathway X Enhanced | $39.48 |
| MultiPlan | Global Health Management | $240.79 |
| Cigna | LifeSOURCE | $92.61 |
| First Health | Commercial HMO | $259.31 |
| UnitedHealthcare | Charter | $154.35 |
| Fidelis Care | Essential Plan 4 | $33.68 |
| Aetna | Signature Administrators PPO | $185.22 |
| First Health | PPO | $240.79 |
| Blue Cross Blue Shield | Hotel Trades Council | $32.26 |
| BCBS (Out of State) | POS (No Suitcase Logo) | $32.26 |
| Anthem BCBS | Empire Plan, Value Options | $32.26 |
| Aetna | Coresource ASA PPO | $185.22 |
| Anthem BCBS | All Plans | $32.26 |
| Humana | All Commercial Plans | $240.79 |
| UnitedHealthcare | HMO | $154.35 |