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Massachusetts 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
$0.17 / $0.27 / $6.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.27 / $0.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.71 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.61 / $4.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.31 / $0.31
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.42 / $0.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.36 / $4.37
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.42 / $0.45
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.35 / $0.89