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Michigan rates for HCPCS A4216

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

Facilitymedian $2 · 10th–90th $1–$260%10%20%10th90th$2Professionalmedian $1 · 10th–90th $0–$20%20%10th90th$1$0.0$0.1$0.5$2.0$10.0

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
$25.70 / $25.70 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $4.07 / $22.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $1.66 / $3.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.62 / $0.65
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.66 / $1.32
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.60 / $1.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.45 / $0.51
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.58 / $4.68
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.63 / $1.58 / $2.09
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.45 / $0.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.38 / $0.38 / $0.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.28 / $0.45