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Sterile Water, Saline or Dextrose Diluent or Flush

Massachusetts rates for HCPCS A4216

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

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $0$790%10%10th90th$1Professionalmedian $0 · 10th–90th $0$10%20%10th90th$0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
Setting
Facility
Modifier
Global
Typical Low
$0.17
Median
$0.27
Typical High
$3.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.17
Median
$0.31
Typical High
$0.52
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$0.59
Median
$0.62
Typical High
$79.43
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$0.26
Median
$0.59
Typical High
$1.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.31
Median
$0.31
Typical High
$0.37
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$93.33
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$0.54
Median
$0.54
Typical High
$0.54
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$0.59
Median
$0.62
Typical High
$79.43
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$0.26
Median
$0.59
Typical High
$1.29
Tufts
Setting
Facility
Modifier
Global
Typical Low
$0.52
Median
$0.52
Typical High
$524.81
Tufts
Setting
Professional
Modifier
Global
Typical Low
$0.40
Median
$0.40
Typical High
$0.40
United
Setting
Facility
Modifier
Global
Typical Low
$0.36
Median
$0.36
Typical High
$0.63
United
Setting
Professional
Modifier
Global
Typical Low
$0.26
Median
$0.54
Typical High
$0.54