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Montana rates for HCPCS A4216

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

Facilitymedian $1 · 10th–90th $0–$140%20%10th90th$1Professionalmedian $1 · 10th–90th $0–$30%20%10th90th$1$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
$5.37 / $16.98 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $2.69
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.89 / $46,773.51 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.54 / $0.65 / $1.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.65 / $0.65
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $0.62 / $1.20
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.62 / $1.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.60 / $0.93
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.63 / $1.45 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.24 / $0.26 / $0.32