go back

Nebraska 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
$8.51 / $60.26 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $2.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $52.48 / $93.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.59 / $0.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.76 / $1.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $1.70 / $47.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.30 / $1.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $1.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.51 / $1.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.00 / $1.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.30 / $0.47