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Illinois 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
$0.30 / $3.79 / $127.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.30 / $0.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $5.81 / $19.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.76 / $0.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.46
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.69 / $1.58
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.69 / $0.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.72 / $0.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.26 / $0.46