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Indiana 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
$0.53 / $0.53 / $0.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.32 / $0.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $37.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.66 / $0.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.28 / $0.47