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Sterile Water, Saline or Dextrose Diluent or Flush

Montana rates for HCPCS A4216

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

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $0$30%20%10th90th$1Professionalmedian $0 · 10th–90th $0$10%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
$2.69
Median
$14.13
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.17
Median
$0.28
Typical High
$0.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.89
Median
$3.31
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.54
Median
$0.65
Typical High
$1.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.31
Median
$0.65
Typical High
$0.65
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$0.48
Median
$0.62
Typical High
$1.20
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$0.48
Median
$0.62
Typical High
$1.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.32
Median
$0.60
Typical High
$0.93
Providence
Setting
Professional
Modifier
Global
Typical Low
$0.63
Median
$1.45
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$0.26
Typical High
$0.32