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California rates for HCPCS A4216

Sterile water, saline and/or dextrose, diluent/flush, 10 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $1.77 / $976.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.19 / $1.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.22 / $0.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.25 / $1.20
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.92 / $1.32
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $1.55 / $2.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.68 / $0.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.84 / $1.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.37 / $4.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.88 / $1.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.62 / $0.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $1.43
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.14 / $1.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.28 / $0.86