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Massachusetts rates for HCPCS A4216

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

Facilitymedian $2 · 10th–90th $1–$3980%10%20%10th90th$2Professionalmedian $1 · 10th–90th $0–$10%50%10th90th$1$0.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $5.89 / $6.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $1.32 / $22.91
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.59 / $0.62 / $79.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.27 / $0.59 / $1.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.31 / $0.31
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $93.33 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.54 / $0.54 / $0.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.59 / $0.62 / $79.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.27 / $0.59 / $1.10
Tufts
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.42 / $398.11 / $870.96
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.40 / $0.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.36 / $0.36 / $0.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.44 / $0.54