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Illinois rates for HCPCS A4216

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

Facilitymedian $50 · 10th–90th $5–$9770%20%10th90th$50Professionalmedian $1 · 10th–90th $0–$230%20%10th90th$1$0.0$0.2$2.0$20.0$200.0$2.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $63.10 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $2.69 / $28.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $44.67 / $52.48
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $5.50 / $16.22
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.76 / $0.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.31 / $0.46
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.74 / $1.95
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.25 / $0.25 / $0.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.50 / $0.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.26 / $0.43